Organization Active NPI

Liftoff ABA LLC

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1497568778
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Jan 30, 2025

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.