Guiding Beacon 1 Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GUIDING BEACON 1 INC.

Practice address

312 Mountain Ave
New Providence, NJ 07974-2638

Phone

(551) 358-6742

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Smitha Mandava

Title

Owner & Ceo

Phone

(551) 358-6742

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelica Reyes-Corrochano

  • Behavior Analyst
  • East Brunswick, NJ
  • NPI 1598404238
  NPD (past)
• Jacqueline L Tudor, BCBA

  • Behavior Analyst
  • Livingston, NJ
  • NPI 1851914279
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1184403412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MOUNTAIN AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742638",
            "telephone_number": "551-358-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MOUNTAIN AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742638",
            "telephone_number": "551-358-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING BEACON 1 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MANDAVA",
        "authorized_official_first_name": "SMITHA",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "551-358-6742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Godovska, PA
• Sandra Gomez, APN
• Christina Rose Graham, LPC
• Gray Consulting Services, Inc
• Hillary Grennan, LCSW
• John Guldner, MA, LPC
• Anjali Gupta, O.D
• Marla Guzman, M.D.
• James John Hakim, MD
• Elizabeth Helen Halim, MD

• Behavior Analyst in New Providence, NJ
• Providers in New Providence, 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 Sep 26, 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.