NPIMap

Organization Active NPI

Pieces for Autism, LLC

  • Behavior Analyst
  • Audubon, NJ
National Provider Identifier
1376820480
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3906 Issued in NJ
Legal business name
PIECES FOR AUTISM, LLC
Practice address
545 Dewey Parker Ave
Audubon, NJ 08106-1905
Phone
(609) 922-4114
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Colleen E Reilly, MS IN ED, BCBA
Title
Owner/Director/Behavior Analyst
Phone
(609) 922-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-07-3906 NJ Primary

Addresses

Primary practice location

545 Dewey Parker Ave
Audubon, NJ 08106-1905

Mailing address

545 Dewey Parker Ave
Audubon, NJ 08106-1905
Phone (609) 922-4114

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": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1376820480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 DEWEY PARKER AVE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061905",
            "telephone_number": "609-922-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 DEWEY PARKER AVE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061905",
            "telephone_number": "609-922-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIECES FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "609-922-4114",
        "authorized_official_credential": "MS IN ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-07-3906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.