Roots Applied Behavior Analysis Autism Treatment Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ROOTS APPLIED BEHAVIOR ANALYSIS AUTISM TREATMENT CENTER

Practice address

185 Ridgedale Ave Ste 107
Cedar Knolls, NJ 07927-1812

Phone

(973) 362-8484

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. David Sidener, PHD, BCBA-DNPI 1104365535

Title

Ceo/Owner

Phone

(973) 362-8484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Sidener, PHD, BCBA-D

  • Behavior Analyst
  • West Orange, NJ
  • NPI 1104365535
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1508451865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W VALLEY BROOK RD",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303525",
            "telephone_number": "973-362-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 RIDGEDALE AVE STE 107",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271812",
            "telephone_number": "973-362-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS APPLIED BEHAVIOR ANALYSIS AUTISM TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "SIDENER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "973-362-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizbeth Rhatican, RN APNC
• Mark A Rieger, MD
• Rebecca Ritter
• Ada Isabel Rodriguez, MSOT
• Leslie A Rodriguez, MA, LPC
• Ilene Kim Rosenthal-Schulman, PT, DPT
• Lori L Roth, MA,CCC-SLP
• Rachel C Rothwachs
• Antonio Rudo
• Natia Rufolo, APN

• Behavior Analyst in Cedar Knolls, NJ
• Providers in Cedar Knolls, 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 Mar 8, 2021; 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.