Organization Active NPI

Pinelands ABA Connection LLC.

  • Community/Behavioral Health Agency
  • Medford, NJ
National Provider Identifier
1396653408
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PINELANDS ABA CONNECTION LLC.
Practice address
19 Blackhawk CT
Medford, NJ 08055-9382
Phone
(215) 740-7373
Fax
(215) 740-7373
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Ms. Caroline Grace Ryan, MS, BCBA, LBANPI 1528561529
Title
Owner
Phone
(215) 740-7373

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

19 Blackhawk CT
Medford, NJ 08055-9382

Mailing address

19 Blackhawk CT
Medford, NJ 08055-9382
Phone (215) 740-7373

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1396653408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BLACKHAWK CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559382",
            "telephone_number": "215-740-7373",
            "fax_number": "215-740-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BLACKHAWK CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559382",
            "telephone_number": "215-740-7373",
            "fax_number": "215-740-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELANDS ABA CONNECTION LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-740-7373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.