Individual provider Active NPI

Cailin Jandora

  • Behavior Analyst
  • Stirling, NJ
National Provider Identifier
1316619638
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52897 Issued in NJ
Practice address
1071 Valley Rd
Stirling, NJ 07980-1523
Phone
(908) 604-4500
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 1-21-52897 NJ Primary

Addresses

Primary practice location

1071 Valley Rd
Stirling, NJ 07980-1523

Mailing address

131 Wingate Rd
Parsippany, NJ 07054-2428
Phone (973) 820-6359

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL STIRLING Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1316619638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WINGATE RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542428",
            "telephone_number": "973-820-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 VALLEY RD",
            "city": "STIRLING",
            "state": "NJ",
            "postal_code": "079801523",
            "telephone_number": "908-604-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDORA",
        "first_name": "CAILIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-21-52897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "STIRLING",
            "affiliation": "N",
            "endpointDescription": "Stirling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1071 Valley Rd",
            "city": "Stirling",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079801523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stirling, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.