Individual provider Active NPI

Lisset D Coletti Orrego

  • Behavior Analyst
  • Rockaway, NJ
National Provider Identifier
1477239655
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
CERT1-23-68649
Practice address
100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129
Phone
(855) 832-6727
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CERT1-23-68649 Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129

Mailing address

263 Bloomfield Ave Apt 11
Bloomfield, NJ 07003-4867
Phone (862) 282-6264

Other practice location 1

263 Bloomfield Ave Apt 11
Bloomfield, NJ 07003-4867
Phone (862) 282-6264

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

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1477239655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 BLOOMFIELD AVE APT 11",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034867",
            "telephone_number": "862-282-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE DR STE 301",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662129",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Bloomfield Ave Apt 11",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070034867",
            "country_code": "US",
            "telephone_number": "862-282-6264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLETTI ORREGO",
        "first_name": "LISSET",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "CERT1-23-68649",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.