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Rebecca O'Sullivan

Behavior Analyst

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca O'Sullivan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1730833419
Provider Type
Individual
Full Name
O'Sullivan, Rebecca
Credential
BCBA

Gender
Female
Sole Proprietor
No
Enumeration Date
2/10/2022
Last Updated
2/10/2022

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046

Unlisted Fax

Mailing Location

110 Midland Ave, Glen Ridge, NJ 07028-2045

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1-20-41275	Description Other	Issuer BACB New Jersey

Rebecca O'Sullivan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Distasi, Veronica

Perez-Delacruz, Josmay Y

Jasper, Christina M

Devorah Weiss Applied Behavior Analysis Pllc

Clear View Aba Llc

Mandelbaum, Batsheva

Guttman, Daniela

Levine, Naomi

Padilla, Jennifer

Feigenbaum, Galia Elke