Thomas Matthew Hansen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14662 Issued in NJ

Practice address

524 10TH St
Lyndhurst, NJ 07071-2723

Phone

(201) 658-1465

NPI assigned

May 29, 2014

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Pivotal ABA, LLC

  • Community/Behavioral Health Agency
  • Lyndhurst, NJ
  • NPI 1912622788

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1134531841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 10TH ST",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712723",
            "telephone_number": "201-658-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 10TH ST",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712723",
            "telephone_number": "201-658-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-14662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Intraoperative Neuromomitoring
• Angela Gulla, LCSW
• Rhonda Ann Hagler, M.D.
• Robert J. Haley, D.C.
• Melissa Faye Handel
• Erika Harlowe-Stadler, LCSW
• Izhar Hasan, MD
• Christopher Hayes
• Marwa Mohamed Hazzah, M.D.
• Johanna Henriquez, DO

• Behavior Analyst in Lyndhurst, NJ
• Providers in Lyndhurst, 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 May 29, 2014; 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.