Active NPIIndividual provider

Kristin Petrocelli, MA

Behavior Analyst in Jackson, New Jersey

NPI Number1609115575
Practice location
178 W Veterans Hwy, Jackson, NJ 08527-3410
Fax
—
Last updated
October 17, 2025

Kristin Petrocelli is a Behavior Analyst based in Jackson, NJ. Kristin Petrocelli practices in Jackson, NJ and has the professional credentials of MA. The NPI Number for Kristin Petrocelli is 1609115575 and holds a License No. 15BC00048100 (NJ). The current practice location address for Kristin Petrocelli is 178 W Veterans Hwy, Jackson, NJ 08527-3410 and can be reached out via phone at 201-979-1336.

Provider Profile Details

NPI Number
1609115575
Provider Name
Kristin Petrocelli
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
178 W Veterans Hwy, Jackson, NJ 08527-3410
Phone Number
201-979-1336
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2013
Last Update Date
October 17, 2025
Certification Date
October 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
178 W Veterans Hwy
Jackson, NJ 08527-3410
Zip
08527-3410
Phone Number
201-979-1336
Jackson, NJ 08527Get directions →

Provider Business Mailing Address Details

Address
175 Belgrove Dr
Kearny, NJ 07032-1507
City
Kearny
State
NJ
Zip
07032-1507
Phone Number
201-979-1336

License Information

License Number (1)
15BC00048100
License State (1)
NJ
Taxonomy (1)
Behavior Analyst · 103K00000X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin Petrocelli, MA?

The NPI number of Kristin Petrocelli, MA is 1609115575. It was assigned on February 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Kristin Petrocelli, MA?

Kristin Petrocelli, MA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 15BC00048100.

Where does Kristin Petrocelli, MA practice?

The practice location is 178 W Veterans Hwy, Jackson, NJ 08527-3410. The office can be reached at 201-979-1336 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609115575 directly on the NPPES registry website.

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