Englewood Center for Learning and Development, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9645 Issued in NY

Legal business name

ENGLEWOOD CENTER FOR LEARNING AND DEVELOPMENT, INC.

Practice address

163 Engle Street
Building 5B Floor 2
Englewood, NJ 07631-2530

Phone

(201) 503-0995

Fax

(201) 503-0992

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Jill Meredith, BCBA, LBANPI 1851871321

Title

President

Phone

(201) 503-0995

Specialties & licenses 1

Addresses

Other names 1

• ECLD Other name

Locations

Practitioners 1

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

• Jill Meredith, BCBA, LBA

  • Behavior Analyst
  • Englewood, NJ
  • NPI 1851871321
  NPD Authorized official

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1356745343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ENGLE STREET",
            "address_2": "BUILDING 5B FLOOR 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312530",
            "telephone_number": "201-503-0995",
            "fax_number": "201-503-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE STREET",
            "address_2": "BUILDING 5B FLOOR 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312530",
            "telephone_number": "201-503-0995",
            "fax_number": "201-503-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD CENTER FOR LEARNING AND DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-503-0995",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-14-9645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECLD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ECLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 May 23, 2022; 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.