Active NPI
Amy Lynn Fabritz, BCBA
- Behavior Analyst
- Stratford, NJ
National Provider Identifier
1659883031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 27-4626230
- Practice address
- 321 Yale Ave Ste D
Stratford, NJ 08084-1247 - Phone
- (888) 859-7749
- NPI assigned
- Oct 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 27-4626230 | NJ | Primary |
Addresses
Primary practice location
321 Yale Ave Ste D
Stratford, NJ 08084-1247
Mailing address
3 Northumberland Dr
Eastampton, NJ 08060-3240
Phone (609) 265-1885
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 |
|---|---|---|---|
| 27-4626230 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1659883031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NORTHUMBERLAND DR",
"city": "EASTAMPTON",
"state": "NJ",
"postal_code": "080603240",
"telephone_number": "609-265-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 YALE AVE STE D",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841247",
"telephone_number": "888-859-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRITZ",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "27-4626230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.