Individual provider Active NPI

Julie Toub, BCBA

  • Behavior Analyst
  • Blackwood, NJ
National Provider Identifier
1669803698
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14239 Issued in NJ
Practice address
1600 Peter Cheeseman Rd
Blackwood, NJ 08012-4439
Phone
(856) 352-0799
NPI assigned
Dec 2, 2013
Last updated
May 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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 1-13-14239 NJ Primary

Addresses

Primary practice location

1600 Peter Cheeseman Rd
Blackwood, NJ 08012-4439

Mailing address

1600 Peter Cheeseman Rd
Blackwood, NJ 08012-4439

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

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1669803698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PETER CHEESEMAN RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PETER CHEESEMAN RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124439",
            "telephone_number": "856-352-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUB",
        "first_name": "JULIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-14239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.