Jennifer C Osorto, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41502 Issued in NJ

Practice address

125 Half Mile Rd Ste 200
Red Bank, NJ 07701-6749

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Amazing Strides of NJ LLC

  • Behavior Analyst
  • Sparta, NJ
  • NPI 1356805881
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1922482082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CAROLYN TER APT A",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032866",
            "telephone_number": "908-425-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HALF MILE RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016749",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORTO",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-03-12",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-20-41502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Institute of Central Jersey
• Orthopaedic Sports Medicine and Rehabilitation Center, LLC
• Orthopaedic Sports Medicine and Rehabilitation Center, LLC
• Lissette Ortiz de Pryor, PA-C
• Amelia R Ortman, MA
• Kristina Pachman Ouano, AGACNP
• Michelle Lynn Ozut, RDN
• Rachel M Ozut, MS, RD
• Zaneta Pabon, PA-C
• Jamie Austin Pacilio, PA-C

• Behavior Analyst in Red Bank, NJ
• Providers in Red Bank, 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 Mar 12, 2021; 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.