NPIMap

Organization Active NPI

Atlantic Behavior Analysis

  • Behavior Analyst
  • Forked River, NJ
National Provider Identifier
1457089484
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ATLANTIC BEHAVIOR ANALYSIS
Practice address
601 Kimberly CT
Forked River, NJ 08731-4963
Phone
(609) 276-1864
NPI assigned
Aug 9, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Michele Lee, BCBA
Title
Owner
Phone
(609) 276-1864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

601 Kimberly CT
Forked River, NJ 08731-4963

Mailing address

601 Kimberly CT
Forked River, NJ 08731-4963

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL MLee.bcba@gmail.com
Other URL mlee.bcba@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1457089484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 KIMBERLY CT",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KIMBERLY CT",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314963",
            "telephone_number": "609-276-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-276-1864",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MLee.bcba@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "601 Kimberly Ct",
            "city": "Forked River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087314963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mlee.bcba@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "601 Kimberly Ct",
            "city": "Forked River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087314963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.