Individual provider Active NPI

Isamar Becerra

  • Behavior Analyst
  • Wayne, NJ
National Provider Identifier
1467329318
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
15BC00284800 Issued in NJ
Practice address
573 Valley Rd
Wayne, NJ 07470-3511
Phone
(732) 966-6143
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 15BC00284800 NJ Primary

Addresses

Primary practice location

573 Valley Rd
Wayne, NJ 07470-3511

Mailing address

10 Sampson St Apt 312
Saddle Brook, NJ 07663-5949
Phone (732) 966-6143

Other practice location 1

150 Hinchman Ave
Wayne, NJ 07470-2360
Phone (732) 966-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15BC00284800NJMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1467329318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAMPSON ST APT 312",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635949",
            "telephone_number": "732-966-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703511",
            "telephone_number": "732-966-6143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Hinchman Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702360",
            "country_code": "US",
            "telephone_number": "732-966-6143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "ISAMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00284800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.