Active NPI
Jason Golowski, BCBA
- Behavior Analyst
- Mount Laurel, NJ
National Provider Identifier
1629530902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15352
- Practice address
- 1000 Crawford PL Ste 260
Mount Laurel, NJ 08054-3965 - Phone
- (856) 628-2965
- NPI assigned
- Apr 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 1-14-15352 | Primary |
Addresses
Primary practice location
1000 Crawford PL Ste 260
Mount Laurel, NJ 08054-3965
Mailing address
PO Box 8223
Cherry Hill, NJ 08002-0223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-15352 | Other | BACB |
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": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1629530902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8223",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080020223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CRAWFORD PL STE 260",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543965",
"telephone_number": "856-628-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLOWSKI",
"first_name": "JASON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-14-15352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-14-15352",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.