Active NPI
Danielle S. Jeudy, PHD, BCBA-D, LBA
- Behavior Analyst
- Burlington, NJ
National Provider Identifier
1053801746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29545
- 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.
-
- Clinic/Center
- Roselle, NJ
- NPI 1710602032
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlimited ABA Sports LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-29545 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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.