Individual provider Active NPI

Jessica Nicole Carty, MS, BCBA

  • Behavior Analyst
  • Burlington, NJ
National Provider Identifier
1972188522
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12367328 Issued in NJ
Practice address
1900 Mount Holly Rd
Burlington, NJ 08016-4722
Phone
(609) 614-7495
Fax
(609) 614-7562
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NJ
Behavior Analyst 103K00000X 12367328 NJ Primary

Addresses

Primary practice location

1900 Mount Holly Rd
Burlington, NJ 08016-4722

Mailing address

1900 Mount Holly Rd
Burlington, NJ 08016-4722
Phone (609) 614-7495

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 Science

State licenses

LicenseStateTypeSpecialty
12367328NJMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Center for Autism LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

1900 Mount Holly Rd
Ste 6D
Burlington Township, NJ 08016
Phone (609) 614-7495

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1972188522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164722",
            "telephone_number": "609-614-7495",
            "fax_number": "609-614-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164722",
            "telephone_number": "609-614-7495",
            "fax_number": "609-614-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTY",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "12367328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.