Donna Ivery, ED.M.

Individual provider Active NPI Behavior Analyst · Park Ridge, NJ

NPI 1194279570 · NPPES record last updated Aug 15, 2016

Key facts

NPI
1194279570
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
2 Broadway
Park Ridge, NJ 07656-2157
Phone
(667) 207-0445
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Quest for Excellence International, LLC Behavior Analyst Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

2 Broadway
Park Ridge, NJ 07656-2157

Mailing address

PO Box 175
Park Ridge, NJ 07656-0175
Phone (667) 207-0445

Other providers in Park Ridge, NJ

All providers in Park Ridge, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.