Individual provider Active NPI

Leah Alexis Harraka

  • Behavior Analyst
  • Ramsey, NJ
National Provider Identifier
1518604834
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12257833 Issued in NJ
Practice address
48 S Franklin Tpke Ste 101
Ramsey, NJ 07446-2558
Phone
(201) 786-6280
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12257833 NJ Primary

Addresses

Primary practice location

48 S Franklin Tpke Ste 101
Ramsey, NJ 07446-2558

Mailing address

21 Pine Dr
Park Ridge, NJ 07656-1816
Phone (201) 726-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12257833NJMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1518604834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PINE DR",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561816",
            "telephone_number": "201-726-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S FRANKLIN TPKE STE 101",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462558",
            "telephone_number": "201-786-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAKA",
        "first_name": "LEAH",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "12257833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.