Active NPI
Ithriveaba LLC
Doing business as Penguin ABA
- Behavior Analyst
- Philadelphia, PA
National Provider Identifier
1174278832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ITHRIVEABA LLC
- Doing business as
- Penguin ABA
- Practice address
- 100 S Juniper St Ste 3
Philadelphia, PA 19107-2703 - Phone
- (215) 399-5682
- NPI assigned
- Feb 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Sheinfeld
- Title
- Director
- Phone
- (848) 525-2263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
100 S Juniper St Ste 3
Philadelphia, PA 19107-2703
Mailing address
10 Primrose Dr
Lakewood, NJ 08701-3283
Phone (848) 525-2263
Other names 1
- Penguin ABA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1174278832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PRIMROSE DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013283",
"telephone_number": "848-525-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S JUNIPER ST STE 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072703",
"telephone_number": "215-399-5682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ITHRIVEABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-21",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "SHEINFELD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "848-525-2263",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Penguin ABA",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.