Desirae Ann Maxwell-Walsh, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

901 Jersey Ave
Spring Lake, NJ 07762-1924

Phone

(732) 890-1387

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• More Than Capable

  • Developmental Disabilities Clinic/Center
  • Spring Lake, NJ
  • NPI 1194511238
  NPD Authorized official
• Empower U.

  • Community/Behavioral Health Agency
  • Marlboro, NJ
  • NPI 1467837104
  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1649806274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 JERSEY AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621924",
            "telephone_number": "732-890-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 JERSEY AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621924",
            "telephone_number": "732-890-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL-WALSH",
        "first_name": "DESIRAE",
        "middle_name": "ANN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Palumbo LCSW LLC
• Joseph Marchitelli, D.C.
• Jessica Martinez
• Stacey Mary Mason, LPC, LCADC
• Norma Marie Matay, LCSW
• Derek J MC Connell, P.T.
• Christina Rose McArdle, DMD
• Shannon Marie McDermott, PA
• Amy Lynn McGowan Dowd, MS, LPC, NCC
• Hannah McLane, APRN, FNP-C

• Assistant Behavior Analyst in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.