Active NPI
Alexis Avellan
- Behavior Analyst
- Bergenfield, NJ
National Provider Identifier
1144077801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-10203
- Practice address
- 294 E Clinton Ave
Bergenfield, NJ 07621-2528 - Phone
- (201) 259-4826
- NPI assigned
- May 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-10203 | NJ | Primary |
Addresses
Primary practice location
294 E Clinton Ave
Bergenfield, NJ 07621-2528
Mailing address
294 E Clinton Ave
Bergenfield, NJ 07621-2528
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1144077801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 E CLINTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 E CLINTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212528",
"telephone_number": "201-259-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVELLAN",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-14-10203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.