Melissa Anne Reilly, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13685 Issued in NJ

Practice address

1 Bethany Rd Ste 92
Hazlet, NJ 07730-1669

Phone

(855) 500-3848

NPI assigned

Jul 15, 2013

Sex

Female

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

Practice roles

Locations

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.

• Empower U Outpatient Services

  dba Empower U.

  • Community/Behavioral Health Agency
  • Hazlet, NJ
  • NPI 1023695491
  NPD
• Empower U Autism Services LLC

  • Community Health Clinic/Center
  • Red Bank, NJ
  • NPI 1508738295
  NPD (past)
• Empower U.

  • Community/Behavioral Health Agency
  • Marlboro, NJ
  • NPI 1467837104
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1891136172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 92",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301669",
            "telephone_number": "855-500-3848",
            "fax_number": "855-500-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 92",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301669",
            "telephone_number": "855-500-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-13685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Physio, P.C.
• Vinutha Raj, MD
• Essence Renee Reed-Williams, DSW, LSW
• Iwona Regula, APN
• Ashley Lynn Reha
• Kimberly Ann Renna
• Constance Taylor Ricciardi, LSW
• Samantha Ricciardi
• Richard F Caponetti MD PA
• Lauren Grace Richards, APN, PMHNP-BC

• Behavior Analyst in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.