Jacqueline Suzanne Dobres, MS OT R/L, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8606 Issued in NJ

Practice address

12 Drew PL
Spotswood, NJ 08884-1610

Phone

(732) 766-5403

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2012.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1780934216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DREW PL",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841610",
            "telephone_number": "732-766-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DREW PL",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841610",
            "telephone_number": "732-766-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRES",
        "first_name": "JACQUELINE",
        "middle_name": "SUZANNE",
        "credential": "MS OT R/L, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-11-8606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Spotswood, NJ
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.