Individual provider Active NPI

Danielle S. Jeudy, PHD, BCBA-D, LBA

  • Behavior Analyst
  • Burlington, NJ
National Provider Identifier
1053801746
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29545 Issued in NJ
Practice address
427 High St Unit 1432
Burlington, NJ 08016-4565
Phone
(908) 487-4545
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited ABA Sports LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29545 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

427 High St Unit 1432
Burlington, NJ 08016-4565

Mailing address

427 High St Unit 1432
Burlington, NJ 08016-4565
Phone (908) 487-4545

Other practice location 1

112 Burt Dr
Roselle, NJ 07203-2907
Phone (908) 884-9950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2024.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1053801746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HIGH ST UNIT 1432",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164565",
            "telephone_number": "908-487-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGH ST UNIT 1432",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164565",
            "telephone_number": "908-487-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Burt Dr",
            "address_purpose": "LOCATION",
            "city": "Roselle",
            "state": "NJ",
            "postal_code": "072032907",
            "country_code": "US",
            "telephone_number": "908-884-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEUDY",
        "first_name": "DANIELLE",
        "middle_name": "S.",
        "credential": "PHD, BCBA-D, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-18-29545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.