Elyse Mager, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12044027 Issued in NJ

Practice address

4949 Snyder LN Apt 49
Rohnert Park, CA 94928-4845

Phone

(201) 893-4170

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1841927290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 SNYDER LN APT 49",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 SNYDER LN APT 49",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284845",
            "telephone_number": "201-893-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGER",
        "first_name": "ELYSE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "12044027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Loyola
• Arthur C Luethe, D.C.
• Poonlarp Lurslurchachai
• Wichika Te Ly
• Lyndsey Rose Lynch
• Michael D. Maggioncalda, DO
• Joshua A Magly
• Venus Ann Maher, D.C.
• Audrey Mahlstedt, MA CCC-SLP
• Leah Mahood

• Behavior Analyst in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.