Active NPI
Sydney Driscoll, BCBA
- Behavior Analyst
- Wyckoff, NJ
National Provider Identifier
1336804798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54940
- Practice address
- 230 Braen Ave Ste D
Wyckoff, NJ 07481-2948 - Phone
- (973) 423-2254
- Fax
- (201) 820-2434
- NPI assigned
- Nov 1, 2021
- 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 Analyst | 103K00000X | 1-21-54940 | NJ | Primary |
Addresses
Primary practice location
230 Braen Ave Ste D
Wyckoff, NJ 07481-2948
Mailing address
524 Otto PL
Paramus, NJ 07652-1818
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sydney@ablg.org | Direct | Above and Beyond Learning Group LLC |
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": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1336804798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 OTTO PL",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BRAEN AVE STE D",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812948",
"telephone_number": "973-423-2254",
"fax_number": "201-820-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "SYDNEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-21-54940",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sydney@ablg.org",
"affiliation": "Y",
"affiliationName": "Above and Beyond Learning Group LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "230 Braen Ave Ste D",
"city": "Wyckoff",
"state": "NJ",
"country_code": "US",
"postal_code": "074812948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.