Organization Active NPI

Care Academy ABA, LLC

  • Developmental Disabilities Clinic/Center
  • Englewood, NJ
National Provider Identifier
1194319293
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
CARE ACADEMY ABA, LLC
Practice address
53 E Hudson Ave
Englewood, NJ 07631-1816
Phone
(551) 486-6489
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Ms. Alyssa R Blum, BCBA
Title
Bcba
Phone
(551) 486-6489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

53 E Hudson Ave
Englewood, NJ 07631-1816

Mailing address

53 E Hudson Ave
Englewood, NJ 07631-1816
Phone (551) 486-6489

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1194319293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E HUDSON AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311816",
            "telephone_number": "551-486-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E HUDSON AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311816",
            "telephone_number": "551-486-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ACADEMY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "551-486-6489",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.