Active NPI
Lenora Panetta-Hagan, RBT
- Behavior Technician
- Mt Laurel, NJ
National Provider Identifier
1285270850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-18355
- Practice address
- 800 Birchfield Drive
Suite 801
Mt Laurel, NJ 08054 - Phone
- (856) 631-1223
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-18355 | NJ | Primary |
Addresses
Primary practice location
800 Birchfield Drive
Suite 801
Mt Laurel, NJ 08054
Mailing address
800 Birchfield Drive
Suite 801
Mt Laurel, NJ 08054
Phone (856) 631-1223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-18355 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1285270850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIRCHFIELD DRIVE",
"address_2": "SUITE 801",
"city": "MT LAUREL",
"state": "NJ",
"postal_code": "08054",
"telephone_number": "856-631-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIRCHFIELD DRIVE",
"address_2": "SUITE 801",
"city": "MT LAUREL",
"state": "NJ",
"postal_code": "08054",
"telephone_number": "856-631-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANETTA-HAGAN",
"first_name": "LENORA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "RBT-16-18355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.