Active NPI
Ellen Maniloff, M.ED, BCBA
- Behavior Analyst
- Medford, NJ
National Provider Identifier
1639318660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-03-1355
- Practice address
- 32 Wrentham Dr
Medford, NJ 08055-3825 - Phone
- (609) 953-7673
- NPI assigned
- Feb 15, 2009
- Last updated
- Feb 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-03-1355 | NU | Primary |
Addresses
Primary practice location
32 Wrentham Dr
Medford, NJ 08055-3825
Mailing address
32 Wrentham Dr
Medford, NJ 08055-3825
Phone (609) 953-7673
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234656000000",
"number": "1639318660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WRENTHAM DR",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553825",
"telephone_number": "609-953-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WRENTHAM DR",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553825",
"telephone_number": "609-953-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANILOFF",
"first_name": "ELLEN",
"credential": "M.ED, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-15",
"last_updated": "2009-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-03-1355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.