Active NPI
Jennifer Carolan, BCBA
- Behavior Analyst
- Somerset, NJ
National Provider Identifier
1730498403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-07-3248
- Practice address
- 66 Winston Dr
Somerset, NJ 08873-2347 - Phone
- (908) 917-2552
- Fax
- (866) 639-3429
- NPI assigned
- Sep 29, 2010
- 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 | 1-07-3248 | NY | Primary |
Addresses
Primary practice location
66 Winston Dr
Somerset, NJ 08873-2347
Mailing address
PO Box 5262
Somerset, NJ 08875-5262
Phone (908) 917-2552
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hybridge Learning Group VA LLC | Behavior Analyst | Past | Accepting new patients |
| Hybridge Learning Group MD LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Towson, MD
- NPI 1295353332
-
- Behavior Analyst
- Alexandria, VA
- NPI 1306461553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1730498403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5262",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088755262",
"telephone_number": "908-917-2552",
"fax_number": "866-639-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 WINSTON DR",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088732347",
"telephone_number": "908-917-2552",
"fax_number": "866-639-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLAN",
"first_name": "JENNIFER",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1-07-3248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.