Nandi Nelson, LCSW, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20802

Practice address

280 S Harrison St Ste 311
East Orange, NJ 07018

Phone

(862) 253-3109

NPI assigned

Jan 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Social Behavior Learning Solutions, LLC

  • Behavior Analyst
  • Livingston, NJ
  • NPI 1629589650
  NPD (past) Authorized official

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1144619453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST STE 311",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "862-253-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST STE 311",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "862-253-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Harrison St Apt 1E",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070181303",
            "country_code": "US",
            "telephone_number": "412-652-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NANDI",
        "credential": "LCSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-10",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097594",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-20802",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05764600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Mentor Healthcare, LLC (New Jersey MENTOR)
• Bharathi Nayak, M.D.
• NBL Medical Transport
• Neighborhood Medical Center
• Neighborhood Medical Center
• Neurological Associates of Newark LLC
• Neuropath Behavioral Healthcare, LLC
• Neurosurgical Monitoring Associates, LLC
• New Care Associates LLC
• New Care Associates LLC

• Behavior Analyst in East Orange, NJ
• Providers in East Orange, 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 Apr 29, 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.