NPIMap

Organization Active NPI

Behavioral Analysis LLC

  • Behavior Analyst
  • Verona, NJ
National Provider Identifier
1366933145
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27509 Issued in NJ
Legal business name
BEHAVIORAL ANALYSIS LLC
Practice address
48A Linn Dr
Verona, NJ 07044-3101
Phone
(973) 768-9274
NPI assigned
May 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2018

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

Authorized official

Name
Brooke A Raskin, BCBANPI 1518458199
Title
Bcba
Phone
(973) 768-9274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-17-27509 NJ Primary

Addresses

Primary practice location

48A Linn Dr
Verona, NJ 07044-3101

Mailing address

48A Linn Dr
Verona, NJ 07044-3101
Phone (973) 768-9274

Other identifiers 1

IdentifierTypeStateIssuer
1518458199OtherNJCMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527465600000",
    "number": "1366933145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48A LINN DR",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443101",
            "telephone_number": "973-768-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48A LINN DR",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443101",
            "telephone_number": "973-768-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-28",
        "last_updated": "2018-05-28",
        "status": "A",
        "authorized_official_last_name": "RASKIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "973-768-9274",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-17-27509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1518458199",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; 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.