NPIMap

Organization Active NPI

Positive Pathways Behavior Services

  • Behavior Analyst
  • Medford, NJ
National Provider Identifier
1164930475
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-20072 Issued in NJ
Legal business name
POSITIVE PATHWAYS BEHAVIOR SERVICES
Practice address
583 McKendimen Rd
Medford, NJ 08055-9774
Phone
(908) 217-3076
NPI assigned
Jan 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Michelle Lynn Siebert, BCBANPI 1619409760
Title
Behavior Analyst
Phone
(908) 217-3076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-15-20072 NJ Primary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-15-19595 NJ

Addresses

Primary practice location

583 McKendimen Rd
Medford, NJ 08055-9774

Mailing address

583 McKendimen Rd
Medford, NJ 08055-9774
Phone (908) 217-3076

Other practice location 1

307 Old Bridge Plz
Old Bridge, NJ 08857-3107
Phone (908) 217-3076

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1164930475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 MCKENDIMEN RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559774",
            "telephone_number": "908-217-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 MCKENDIMEN RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559774",
            "telephone_number": "908-217-3076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Old Bridge Plz",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573107",
            "country_code": "US",
            "telephone_number": "908-217-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE PATHWAYS BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-21",
        "last_updated": "2023-07-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "908-217-3076",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-20072",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-19595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.