Individual provider Active NPI

Jeannette Mahieu, BCBA

  • Behavior Analyst
  • Hamilton, NJ
National Provider Identifier
1629534862
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33678 Issued in NJ
Practice address
392 Old York Rd
Hamilton, NJ 08620-9718
Phone
(732) 966-3878
Fax
(609) 316-5839
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-33678 NJ Primary

Addresses

Primary practice location

392 Old York Rd
Hamilton, NJ 08620-9718

Mailing address

392 Old York Rd
Hamilton, NJ 08620-9718
Phone (732) 966-3878

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Therapy Autism Services Behavior Analyst CurrentSince Jan 1, 2020 Accepting new patients
Strategic Montessori & Therapy Center Behavior Analyst Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1629534862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 OLD YORK RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086209718",
            "telephone_number": "732-966-3878",
            "fax_number": "609-316-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 OLD YORK RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086209718",
            "telephone_number": "732-966-3878",
            "fax_number": "609-316-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHIEU",
        "first_name": "JEANNETTE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-18-33678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.