Individual provider Active NPI

Shirley Urgiles Molina, BCBA

  • Behavior Analyst
  • Jackson, NJ
National Provider Identifier
1689454985
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
15BC00334600 Issued in NJ
Practice address
178 W Veterans Hwy
Jackson, NJ 08527-3410
Phone
(201) 979-1336
Fax
(908) 940-0338
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 15BC00334600 NJ Primary

Addresses

Primary practice location

178 W Veterans Hwy
Jackson, NJ 08527-3410

Mailing address

175 Belgrove Dr
Kearny, NJ 07032-1507
Phone (201) 979-1336

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

LicenseStateTypeSpecialty
15BC00334600NJMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The Puzzle Place LLC Behavior Analyst CurrentSince Oct 8, 2023 Accepting new patients
Behavioral Momentum LLC Behavior Analyst CurrentSince Oct 8, 2023 Accepting new patients
Childrens Specialized Hospital ABA, LLC. Behavior Analyst PastSince Dec 7, 2025 Accepting new patients

Locations

3425 US Highway 9
Freehold, NJ 07728
Phone (732) 201-5676

Organizations & group practices 3

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1689454985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BELGROVE DR",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321507",
            "telephone_number": "201-979-1336",
            "fax_number": "908-940-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273410",
            "telephone_number": "201-979-1336",
            "fax_number": "908-940-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URGILES MOLINA",
        "first_name": "SHIRLEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00334600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.