Individual provider Active NPI

Naa Ameley Tagoe, M.S, BCBA

  • Behavior Analyst
  • Marlton, NJ
National Provider Identifier
1255689634
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11211451 Issued in PA
Practice address
3002 Lincoln Drive West
Suite E
Marlton, NJ 08053
Phone
(856) 952-0661
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11211451 PA Primary

Addresses

Primary practice location

3002 Lincoln Drive West
Suite E
Marlton, NJ 08053

Mailing address

9815 Haldeman Ave
A301
Philadelphia, PA 19115-2250
Phone (856) 952-0661

Other names 1

  • Mrs. Naa Ameley Tagoe Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11211451PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1255689634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 HALDEMAN AVE",
            "address_2": "A301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152250",
            "telephone_number": "856-952-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 LINCOLN DRIVE WEST",
            "address_2": "SUITE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-952-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGOE",
        "first_name": "NAA AMELEY",
        "name_prefix": "Mrs.",
        "credential": "M.S, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "11211451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAA AMELEY",
            "last_name": "TAGOE",
            "prefix": "MRS.",
            "credential": "M.S., B.C.B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.