Shantell Lewis, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56110 Issued in NJ

Practice address

941 White Horse Mercerville Rd Ste 2
Hamilton, NJ 08610-1407

Phone

(609) 581-3800

Fax

(866) 513-0868

NPI assigned

Oct 7, 2019

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: bethea-millerbehavioralconsulting@hipaamail.net

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

• All About ABA NJ LLC

  • Community/Behavioral Health Agency
  • Howell, NJ
  • NPI 1194397349

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1255972501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE MERCERVILLE RD STE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-3800",
            "fax_number": "866-513-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE MERCERVILLE RD STE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-3800",
            "fax_number": "866-513-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHANTELL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-21-56110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethea-millerbehavioralconsulting@hipaamail.net",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "address_1": "941 White Horse Mercerville Rd Ste 2",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086101407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethea-millerbehavioralconsulting@hipaamail.net",
            "affiliation": "N",
            "address_1": "941 White Horse Mercerville Rd Ste 2",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086101407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindy Israel Levine, LCSW
• Inessa Levine, MS, CCC-SLP
• Jason P Levy, DPM
• Bergen Lewis, CERTIFIED DOULA
• Lenna M Lewis, PTA
• Tawanda Shelley Lewis
• Liren Li, MD
• Tong Li, M.D.
• Bushra Liaqat, PHARM D
• Liberty Healthcare Services

• Behavior Analyst in Hamilton, NJ
• Providers in Hamilton, 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 Jun 27, 2022; 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.