Active NPI
Sandra Jean-Romain, M.S.ED, BCBA
- Behavior Analyst
- Morganville, NJ
National Provider Identifier
1487212387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11833243
- Practice address
- 5 Ruth CT
Morganville, NJ 07751-1023 - Phone
- (732) 735-9773
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11833243 | NJ | Primary |
Addresses
Primary practice location
5 Ruth CT
Morganville, NJ 07751-1023
Mailing address
96 Westley Rd
Old Bridge, NJ 08857-3505
Phone (732) 735-9773
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11833243 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1487212387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 WESTLEY RD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573505",
"telephone_number": "732-735-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RUTH CT",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511023",
"telephone_number": "732-735-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-ROMAIN",
"first_name": "SANDRA",
"credential": "M.S.ED, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "11833243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.