Intentional Interventions, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30938

Legal business name

INTENTIONAL INTERVENTIONS, LLC

Practice address

1501 S New Rd
Pleasantville, NJ 08232-3765

Phone

(609) 380-1122

Fax

(609) 374-9166

NPI assigned

Aug 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Talia Stephens, BCBANPI 1316366685

Title

Owner Operator

Phone

(609) 402-2720

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talia Danesha Stephens, BCBA

  • Behavior Analyst
  • Pleasantville, NJ
  • NPI 1316366685
  NPD Authorized official
• Janis Birch, RBT

  • Behavior Analyst
  • Pleasantville, NJ
  • NPI 1871114132
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1013496264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DELAWARE AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345796",
            "telephone_number": "609-402-2720",
            "fax_number": "609-788-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323765",
            "telephone_number": "609-380-1122",
            "fax_number": "609-374-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "609-402-2720",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-30938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.