Organization Active NPI

Strategic Therapy Autism Services

  • Behavior Analyst
  • Hamilton, NJ
National Provider Identifier
1689204745
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STRATEGIC THERAPY AUTISM SERVICES
Practice address
392 Old York Rd
Hamilton, NJ 08620-9718
Phone
(609) 779-2280
Fax
(609) 316-5839
NPI assigned
Jan 16, 2020
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Miss Jeannette M Mahieu, BCBANPI 1629534862
Title
Bcba/Owner
Phone
(732) 966-3878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

392 Old York Rd
Hamilton, NJ 08620-9718

Mailing address

392 Old York Rd
Hamilton, NJ 08620-9718
Phone (609) 779-2280

Other identifiers 1

IdentifierTypeStateIssuer
14407273OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@strategictherapy.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1689204745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 OLD YORK RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086209718",
            "telephone_number": "609-779-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 OLD YORK RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086209718",
            "telephone_number": "609-779-2280",
            "fax_number": "609-316-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC THERAPY AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MAHIEU",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "732-966-3878",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14407273",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@strategictherapy.com",
            "affiliation": "N",
            "address_1": "392 Old York Rd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086209718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.