Individual provider Active NPI

Kelly Decker, M.A., BCBA

  • Behavior Analyst
  • Mount Laurel, NJ
National Provider Identifier
1881219392
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1001 Briggs Rd Ste 280
Mount Laurel, NJ 08054-4104
Phone
(856) 955-0811
NPI assigned
Jun 10, 2020
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NJ Primary

Addresses

Primary practice location

1001 Briggs Rd Ste 280
Mount Laurel, NJ 08054-4104

Mailing address

1001 Briggs Rd Ste 280
Mount Laurel, NJ 08054-4104
Phone (856) 955-0811

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Family New Jersey LLC CurrentSince Nov 5, 2023 Accepting new patients
Helping Hands Family New Jersey LLC Behavior Analyst CurrentSince Nov 5, 2023 Accepting new patients

Locations

1001 Briggs Rd
Ste 280
Mount Laurel, NJ 08054
Phone (856) 955-0811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1881219392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD STE 280",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544104",
            "telephone_number": "856-955-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD STE 280",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544104",
            "telephone_number": "856-955-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "KELLY",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.