Active NPI
Lisa Ann Radil
- Behavior Analyst
- Fanwood, NJ
National Provider Identifier
1427569508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36879
- Practice address
- 95 Farley Ave
Fanwood, NJ 07023-1004 - Phone
- (727) 492-5369
- NPI assigned
- Oct 17, 2017
- Last updated
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-36879 | NJ | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
95 Farley Ave
Fanwood, NJ 07023-1004
Mailing address
115 Rosewood Ter
Linden, NJ 07036-4923
Phone (908) 358-5037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Solutions, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1427569508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROSEWOOD TER",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070364923",
"telephone_number": "908-358-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 FARLEY AVE",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231004",
"telephone_number": "727-492-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADIL",
"first_name": "LISA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-19-36879",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fanwood, NJ
- Primary Care Partners, LLC (Advanced Primary Care- Primary Care Partners Affiliate)
- Pristine Rehabilitation
- Cynthia Ann Puchammer, MSW, LCSW
- Caroline Raba, LPC
- Rabbinic Center for Research and Counseling
- Lila K Redmount, MSW, LCSW
- Megan Lizette Rodriguez
- Samiyah Rogers
- Charles S. Roll, NCTMB, LMT
- Garett Louis Rosati, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.