Thaina Ava Gustave

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

377 Valley Rd Unit 3482
Clifton, NJ 07013-1319

Phone

(917) 574-2279

Fax

(973) 947-6323

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ednas Vision ABA

  • Behavior Analyst
  • Clifton, NJ
  • NPI 1609510106

  Behavior Technician

  NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1609608991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD UNIT 3482",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "917-574-2279",
            "fax_number": "973-947-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD UNIT 3482",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "917-574-2279",
            "fax_number": "973-947-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVE",
        "first_name": "THAINA",
        "middle_name": "AVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lijoi Gunn, MD
• Ajay Gupta, M.D.
• Ashok Gupta
• Somi Gupta, MA-CCC-A
• Vikram Gupta, M.D.
• Basya S Gutmann, LCSW
• Nicole Gvoth
• Sherif Habib, MSN, APN, FNP-BC
• Hackensack Meridian Ambulatory Care, Inc
• Charles George Haddad, M.D.

• Behavior Technician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.