Active NPI
Liftoff ABA LLC
- Behavior Analyst
- Lakewood, NJ
National Provider Identifier
1497568778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- LIFTOFF ABA LLC
- Practice address
- 111 Stratford PL
Lakewood, NJ 08701-1468 - Phone
- (347) 782-9776
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noah Levine
- Title
- Co-Director
- Phone
- (347) 782-9776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
111 Stratford PL
Lakewood, NJ 08701-1468
Mailing address
455 Central Ave
Cedarhurst, NY 11516-2008
Phone (347) 783-9776
National Provider Directory
National Provider DirectoryLocations
455 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-3377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1497568778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162008",
"telephone_number": "347-783-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 STRATFORD PL",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011468",
"telephone_number": "347-782-9776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFTOFF ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "NOAH",
"authorized_official_title_or_position": "CO-DIRECTOR",
"authorized_official_telephone_number": "347-782-9776"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.