Brian Conners, ED.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13631 Issued in NJ

Practice address

101 Eisenhower Parkway
Suite 300
Roseland, NJ 07068-1054

Phone

(844) 823-7865

Fax

(844) 711-9920

NPI assigned

Oct 29, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Brian Yankouski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1710315791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LINN DR APT A",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443106",
            "telephone_number": "973-896-9121",
            "fax_number": "844-711-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PARKWAY",
            "address_2": "SUITE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681054",
            "telephone_number": "844-823-7865",
            "fax_number": "844-711-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERS",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "ED.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-13631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "YANKOUSKI",
            "prefix": "MR.",
            "credential": "ED.S., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.