James Gerard O'Brien, BCABA

Individual provider Active NPI Behavior Analyst · South River, NJ

NPI 1831428945 · NPPES record last updated Dec 18, 2009

Key facts

NPI
1831428945
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
277 Main St
1St Floor
South River, NJ 08882-2042
Phone
(732) 254-0300
Fax
(732) 254-3131
NPI assigned
Dec 18, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cerg Management Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NY Yes

Addresses

Primary practice location

277 Main St
1St Floor
South River, NJ 08882-2042

Mailing address

5614 Netherland Ave
Apt. 5G
Bronx, NY 10471-1707
Phone (917) 734-8305

Other providers in South River, NJ

All providers in South River, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.