Dedicated Group Homes

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DEDICATED GROUP HOMES

Practice address

180 Alyssa Dr
Mount Royal, NJ 08061-1071

Phone

(866) 625-9934

NPI assigned

Jul 8, 2016

Last updated

Jul 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elienne Dautruche

Title

Owner

Phone

(856) 625-9934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1437501905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ALYSSA DR",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ALYSSA DR",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611071",
            "telephone_number": "866-625-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "DAUTRUCHE",
        "authorized_official_first_name": "ELIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-625-9934"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Mount Royal, NJ
• Providers in Mount Royal, 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 Jul 8, 2016; 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.