NPIMap

Organization Active NPI

Learning for Life Development Center, LLC

  • Behavior Analyst
  • South Orange, NJ
National Provider Identifier
1417247388
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LEARNING FOR LIFE DEVELOPMENT CENTER, LLC
Practice address
4 South Orange Avenue
Apt 2231 Box 189
South Orange, NJ 07079-1782
Phone
(908) 686-1505
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Lisa Rader
Title
Director
Phone
(908) 686-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4 South Orange Avenue
Apt 2231 Box 189
South Orange, NJ 07079-1782

Mailing address

4 South Orange Avenue
Apt 2231 Box 189
South Orange, NJ 07079-1782

Other names 1

  • c/o Lisa Rader, MA, BCBA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1417247388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SOUTH ORANGE AVENUE",
            "address_2": "APT 2231 BOX 189",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SOUTH ORANGE AVENUE",
            "address_2": "APT 2231 BOX 189",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791782",
            "telephone_number": "908-686-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNING FOR LIFE DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-686-1505"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "c/o Lisa Rader, MA, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.