White Dove ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WHITE DOVE ABA

Practice address

34 White Dove CT
Lakewood, NJ 08701-5167

Phone

(908) 216-1254

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Elliot Goldstein

Title

Ceo

Phone

(908) 216-1254

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1407632318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WHITE DOVE CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015167",
            "telephone_number": "908-216-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WHITE DOVE CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015167",
            "telephone_number": "908-216-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DOVE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-216-1254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lakewood, NJ
• Providers in Lakewood, 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 Sep 6, 2023; 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.