Gan Aliza LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GAN ALIZA LLC

Practice address

509 Engle St
Englewood, NJ 07631-1813

Phone

(201) 308-3042

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Tsipy Kohen-Weiss

Title

Owner

Phone

(201) 308-3042

Specialties & licenses 2

Addresses

Other names 1

• Shalva ABA services Doing business as

Locations

Practitioners 2

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

• Anna Maria Destefano, M.A., BCBA

  • Behavior Analyst
  • Union, NJ
  • NPI 1538306485
  NPD (past)
• Geok Chai Sondern

  • Behavior Analyst
  • Union, NJ
  • NPI 1366733909
  NPD (past)

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1285430710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311813",
            "telephone_number": "201-308-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Englewood Ave",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663512",
            "country_code": "US",
            "telephone_number": "201-308-3042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663428",
            "country_code": "US",
            "telephone_number": "201-308-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAN ALIZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "KOHEN-WEISS",
        "authorized_official_first_name": "TSIPY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-308-3042"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalva ABA services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Shanice Gallimore, M.D.
• Paul Michael Gallina Jr., MD
• Frank John Galtieri, DDS
• Yelena Galumyan, MD
• Adriana Gambino, AGPCNP-BC
• Maz Ganat, M.D.
• Michelle Ganat, MD
• Nisha Gandhi, MD
• Sejal Gandhi, M.D
• Elizabeth Ganopolsky

• Behavior Analyst in Englewood, NJ
• Providers in Englewood, 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 Mar 19, 2025; 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.