Marciette Jackson-Lazaroff, BEHAVIOR SPECIALIST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH007402 Issued in PA

Practice address

2760 Emrick Blvd
Bethlehem, PA 18020-8012

Phone

(856) 346-0005

NPI assigned

Aug 25, 2025

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CNNH Therapy LLC

  dba NeurAbilities Healthcare

  • Behavior Analyst
  • King of Prussia, PA
  • NPI 1750845327
  NPD (past)

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1861370140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 POPLAR CREEK RD",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183308155",
            "telephone_number": "646-573-0092",
            "fax_number": "646-573-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 EMRICK BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208012",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-LAZAROFF",
        "first_name": "MARCIETTE",
        "credential": "BEHAVIOR SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie L Iwanicki, MA
• Manny Subramania Iyer, M.D.
• J&M Medical Supply
• Gazal Jabir
• Jack Gold Surgical Appliances, Inc. (AlliedOP, Inc.)
• Shateffa Jackson
• Jeena Mary Jacob, M.D
• Mervana Jacob, DMD
• Sharon Leigh Jacob, M.D.
• Tiffany Kristen Jacob, M.S., LPC

• Behavior Analyst in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.