Organization Active NPI

The Special Education Teacher LLC

  • Behavior Analyst
  • Fords, NJ
National Provider Identifier
1275029985
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE SPECIAL EDUCATION TEACHER LLC
Practice address
147 Ford Ave
Fords, NJ 08863-1622
Phone
(732) 934-5402
Fax
(908) 379-3286
NPI assigned
Jul 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Amanda Martinez
Title
Credentialing
Phone
(805) 277-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

147 Ford Ave
Fords, NJ 08863-1622

Mailing address

147 Ford Ave
Fords, NJ 08863-1622
Phone (732) 934-5402

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1275029985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 FORD AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631622",
            "telephone_number": "732-934-5402",
            "fax_number": "908-379-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 FORD AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631622",
            "telephone_number": "732-934-5402",
            "fax_number": "908-379-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPECIAL EDUCATION TEACHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "805-277-3392"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fords, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.