Alicja U Pietrzak, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18757 Issued in NJ

Practice address

60 Evergreen PL.
3Rd Floor Suite 309
East Orange, NJ 07017

Phone

(973) 943-0464

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anchor Behavioral Solutions LLC

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1962911578
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1497114474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MADISON ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752319",
            "telephone_number": "347-782-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL.",
            "address_2": "3RD FLOOR SUITE 309",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07017",
            "telephone_number": "973-943-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRZAK",
        "first_name": "ALICJA",
        "middle_name": "U",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-18757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahava Picado, PHARMD
• Shamon Davis Pickens
• Margaret C Pickett, LCADC
• Daphney Pierre
• Erika Carmelle Pierre
• Jennifer Denise Pimentel
• Karol Andrea Pineiro, MSN, FNP-BC
• Alix Placid
• Planned Parenthood of Metropolitan NJ
• Lydia Plaza

• Behavior Analyst in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.