Nicholas Borden

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-8430

Practice address

1000 Crawford PL
Mount Laurel, NJ 08054-3932

Phone

(856) 628-1686

NPI assigned

Apr 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1093335374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CRAWFORD PL",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543932",
            "telephone_number": "856-628-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CRAWFORD PL",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543932",
            "telephone_number": "856-628-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-17-8430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Block, LPC
• Nina Bloom
• Colleen Bodek, LPC
• Laura Bodrog, LCSW
• Beverly Lynn Bongiorno, FNP-BC
• Elizabeth Lauren Bottomly, DPT
• Annette Marie Boulden, RD,MA
• Andrea Legath Bowers, MD
• Lester Bowie, M.D.
• Debra Boyd, RN

• Assistant Behavior Analyst in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.