Active NPI
Brittany Peterson
- Behavior Technician
- Edison, NJ
National Provider Identifier
1528755675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-267965
- Practice address
- 2035 Lincoln Hwy
Edison, NJ 08817-3351 - Phone
- (866) 557-8669
- NPI assigned
- Apr 19, 2023
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB901840 | NJ | |
| Behavior Technician | 106S00000X | RBT-23-267965 | NJ | Primary |
Addresses
Primary practice location
2035 Lincoln Hwy
Edison, NJ 08817-3351
Mailing address
54 Leber Ave
Carteret, NJ 07008-2440
Phone (551) 222-9198
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 |
|---|---|---|---|
| BACB901840 | NJ | MD | Behavior Technician |
| RBT-23-267965 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1528755675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 LEBER AVE",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082440",
"telephone_number": "551-222-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 LINCOLN HWY",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173351",
"telephone_number": "866-557-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "BACB901840",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "RBT-23-267965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.