Raphael Eisemann, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56901 Issued in NJ

Practice address

945 River Ave Ste 201
Lakewood, NJ 08701-5675

Phone

(732) 833-3723

NPI assigned

Jan 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brainbuilders

  • Speech-Language Pathologist
  • Lakewood, NJ
  • NPI 1801501846
  NPD
• Brainbuilders

  • Behavior Analyst
  • Lakewood, NJ
  • NPI 1144552621
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1457002602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOVA DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015650",
            "telephone_number": "443-310-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER AVE STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015675",
            "telephone_number": "732-833-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEMANN",
        "first_name": "RAPHAEL",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-21-56901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Effective ABA
• Nechama M. Ehrenreich, MA CCC-SLP
• Miriam Ehrman
• Eikev Rehab LLC
• Eli Eilenberg, M.D.
• Rachel Eisenbach, LMSW
• Abraham Eisenberg, FNP
• Batsheva Eisenberger
• Gittele Eisenreich
• Mimi Eisenstadt, RDN

• 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 Jan 10, 2022; 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.