Prachi Kulkarni, BCBA

Individual provider Active NPI Behavior Analyst · Jackson, NJ

NPI 1477338697 · NPPES record last updated Apr 9, 2025

Key facts

NPI
1477338697
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
178 W Veterans Hwy
Jackson, NJ 08527-3410
Phone
(201) 979-0772
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15BC00090100NJMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 15BC00090100 NJ
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

178 W Veterans Hwy
Jackson, NJ 08527-3410

Mailing address

29 Benford Dr
Princeton Junction, NJ 08550-1330
Phone (917) 239-4385

Other practice location 1

1235 Whitehorse Mercerville Rd Ste 306
Hamilton, NJ 08619-3810
Phone (917) 239-4385

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2025.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1477338697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BENFORD DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501330",
            "telephone_number": "917-239-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273410",
            "telephone_number": "201-979-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Whitehorse Mercerville Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193810",
            "country_code": "US",
            "telephone_number": "917-239-4385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "PRACHI",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00090100",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

All providers in Jackson, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.