Active NPI
Brocha Weiss
- Behavior Analyst
- Jackson, NJ
National Provider Identifier
1942106687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 84 Citadel Dr
Jackson, NJ 08527-1843 - Phone
- (833) 653-1800
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
84 Citadel Dr
Jackson, NJ 08527-1843
Mailing address
323 Squankum Rd
Lakewood, NJ 08701-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1942106687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 SQUANKUM RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 CITADEL DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271843",
"telephone_number": "833-653-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "BROCHA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.