NPIMap

Organization Active NPI

Advance, Inc.

  • Behavior Analyst
  • Williamstown, NJ
National Provider Identifier
1487970075
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3201 Issued in NJ
Legal business name
ADVANCE, INC.
Practice address
1880 Glassboro Rd
Williamstown, NJ 08094-8721
Phone
(856) 881-0400
Fax
(856) 374-4060
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Dr. Laura A. Kenneally, ED.D., BCBANPI 1215253810
Title
Co-President
Phone
(856) 374-2821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-07-3201 NJ Primary

Addresses

Primary practice location

1880 Glassboro Rd
Williamstown, NJ 08094-8721

Mailing address

1880 Glassboro Rd
Williamstown, NJ 08094-8721
Phone (856) 881-0400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1487970075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 GLASSBORO RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948721",
            "telephone_number": "856-881-0400",
            "fax_number": "856-374-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 GLASSBORO RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948721",
            "telephone_number": "856-881-0400",
            "fax_number": "856-374-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "KENNEALLY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "856-374-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-07-3201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.