Individual provider Active NPI

Donna Jean Salvatore, BCBA

  • Behavior Analyst
  • Secaucus, NJ
National Provider Identifier
1649994450
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16681 Issued in NJ
Practice address
626 Sanderling CT
Secaucus, NJ 07094-2221
Phone
(917) 364-8074
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 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 1-14-16681 NJ Primary

Addresses

Primary practice location

626 Sanderling CT
Secaucus, NJ 07094-2221

Mailing address

626 Sanderling CT
Secaucus, NJ 07094-2221
Phone (917) 364-8074

Other names 1

  • Donna Jean Benson Former name

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1649994450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SANDERLING CT",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942221",
            "telephone_number": "917-364-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SANDERLING CT",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942221",
            "telephone_number": "917-364-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-14-16681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BENSON",
            "middle_name": "JEAN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.