Healthcare Provider Details

I. General information

NPI: 1871001776
Provider Name (Legal Business Name): KEARA MARIE CAPECE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KEARA MARIE REILLY BCBA

II. Dates (important events)

Enumeration Date: 01/14/2018
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 WILLS WAY
PISCATAWAY NJ
08854-3770
US

IV. Provider business mailing address

106 MYRTLE RD
WARREN NJ
07059-5366
US

V. Phone/Fax

Practice location:
  • Phone: 201-577-1443
  • Fax:
Mailing address:
  • Phone: 908-514-0094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-66064
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: