Kristin Petrocelli, MA is a
Behavior Analyst based in Jackson, New Jersey. Kristin Petrocelli is licensed to practice in New Jersey (license number 15BC00048100) and her current practice location is
178 W Veterans Hwy, Jackson, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 979-1336.
NPI number for Kristin Petrocelli is 1609115575 and her current mailing address is 175 Belgrove Dr, Kearny, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609115575.
Healthcare Provider's Profile
| Full Name | Kristin Petrocelli |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 178 W Veterans Hwy, Jackson, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609115575
- Provider Enumeration Date: 02/12/2013
- Last Update Date: 10/17/2025
Medical Identifiers
Medical identifiers for Kristin Petrocelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609115575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 15BC00048100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Petrocelli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kristin Petrocelli, MA 175 Belgrove Dr, Kearny, NJ 07032-1507 Ph: (201) 979-1336 | Kristin Petrocelli, MA 178 W Veterans Hwy, Jackson, NJ 08527-3410 Ph: (201) 979-1336 |
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