Active NPIIndividual providerSole proprietor

Jessica Costa, MA BCBA

Behavior Analyst in Fanwood, New Jersey

NPI Number1811346562
Practice location
330 South Ave, Fanwood, NJ 07023-1325
Fax
908-275-8822
Last updated
June 3, 2016

Jessica Costa is a Behavior Analyst based in Fanwood, NJ. Jessica Costa practices in Fanwood, NJ and has the professional credentials of MA BCBA. The NPI Number for Jessica Costa is 1811346562 and holds a License No. 1-15-19998 (NJ). The current practice location address for Jessica Costa is 330 South Ave, Fanwood, NJ 07023-1325 and can be reached out via phone at 908-654-2476 and via fax at 908-275-8822.

Provider Profile Details

NPI Number
1811346562
Provider Name
Jessica Costa
Credential
MA BCBA
Provider Entity Type
Individual
Gender
Female
Address
330 South Ave, Fanwood, NJ 07023-1325
Phone Number
908-654-2476
Fax Number
908-275-8822
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2016
Last Update Date
June 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 South Ave
Fanwood, NJ 07023-1325
Zip
07023-1325
Phone Number
908-654-2476
Fax Number
908-275-8822
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
330 South Ave
Fanwood, NJ 07023-1325
City
Fanwood
State
NJ
Zip
07023-1325
Phone Number
908-654-2476
Fax Number
908-275-8822

License Information

License Number
1-15-19998
License State
NJ
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

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

Other Behavior Analysts near Fanwood, NJ

View all Behavior Analysts in Fanwood →

Frequently Asked Questions

What is the NPI number of Jessica Costa, MA BCBA?

The NPI number of Jessica Costa, MA BCBA is 1811346562. It was assigned on June 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Jessica Costa, MA BCBA?

Jessica Costa, MA BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-15-19998.

Where does Jessica Costa, MA BCBA practice?

The practice location is 330 South Ave, Fanwood, NJ 07023-1325. The office can be reached at 908-654-2476 (phone) or 908-275-8822 (fax).

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 1811346562 directly on the NPPES registry website.

Browse related providers