Foundations Autism LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FOUNDATIONS AUTISM LLC

Practice address

100 Walnut Ave Ste 210
Clark, NJ 07066-1247

Phone

(908) 731-1490

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By 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

Hashem Selim

Title

Executive Director

Phone

(908) 731-1490

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Marissa Cortinas, BCBA

  • Behavior Analyst
  • Clark, NJ
  • NPI 1164238101
  NPD (past)
• Shamay Selim

  • Behavior Analyst
  • Rahway, NJ
  • NPI 1003281585
  NPD (past)
• Jennifer Souza

  • Behavior Analyst
  • Fanwood, NJ
  • NPI 1700470085
  NPD (past)

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1437914868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE",
            "address_2": "STE 210 #99",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "07066",
            "telephone_number": "908-731-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE STE 210",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661247",
            "telephone_number": "908-731-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SELIM",
        "authorized_official_first_name": "HASHEM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-731-1490"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferris Home Rehabilitation LLC
• Ryan Andrew Finkel, MD
• First Health, P.a. (Clark First Health)
• Mary Anita Flanagan Buchbinder, DMD
• Dora Luisa Flores-Ryan, MSN, RNC, CNM
• Frank J Pecoraro DDS PA Richard M Kelner DMD PA
• Brandon Fredhoff, PT DPT
• Matthew Fredrick, PT, DPT
• Hannah Rose Friedman, DPT
• Robert Alan Fuhrman, M.D.

• Behavior Analyst in Clark, NJ
• Providers in Clark, 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 Feb 15, 2024; 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.