Healthcare Provider Details

I. General information

NPI: 1306544572
Provider Name (Legal Business Name): XENIA ELIZABETH PICO MA, BCBA, NJ - LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N FRANKLIN TPKE STE 203
RAMSEY NJ
07446-1177
US

IV. Provider business mailing address

280 UNION ST APT 207
HACKENSACK NJ
07601-4254
US

V. Phone/Fax

Practice location:
  • Phone: 248-238-8126
  • Fax:
Mailing address:
  • Phone: 201-790-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00360400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: