The Center for Neurological and Neurodevelopmental Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE CENTER FOR NEUROLOGICAL AND NEURODEVELOPMENTAL HEALTH LLC

Doing business as

NeurAbilities Healthcare

Practice address

2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910

Phone

(856) 346-0005

NPI assigned

Sep 6, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Clemons

Title

Cfo

Phone

(215) 985-4448

Specialties & licenses 3

Addresses

Other names 1

• NeurAbilities Healthcare Doing business as

Tax ID family

Center for Neurological Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Center for Neurological and Neurodevelopmental Health, LLC

  dba CNNH

  • Neurology Physician
  • Voorhees, NJ
  • NPI 1962682989
  NPD tax ID

Locations

Practitioners 4

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.

• Mary Kathryn Boettner

  • Behavior Analyst
  • Voorhees, NJ
  • NPI 1801369566
  NPD (past)
• Sarah Dattilo, BCBA

  • Behavior Analyst
  • Cherry Hill, NJ
  • NPI 1437821428
  NPD (past)
• Caila Mottram

  • Behavior Analyst
  • Cherry Hill, NJ
  • NPI 1093365686
  NPD (past)
• Brianna Alissa Nelson, MS

  • Behavior Analyst
  • Cherry Hill, NJ
  • NPI 1649859844
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1730800194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431910",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Chapel Ave W Ste 160",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080024605",
            "country_code": "US",
            "telephone_number": "856-346-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Gibson Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077284837",
            "country_code": "US",
            "telephone_number": "856-346-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CENTER FOR NEUROLOGICAL AND NEURODEVELOPMENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-985-4448"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeurAbilities Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avinash Sai Thalasila, MD
• Naw Susan Than
• Garima Thapar, MD
• The 4Walls Foundation
• The 4Walls Foundation
• The Center for Neurological and Neurodevelopmental Health, LLC (CNNH)
• The Huddle Child and Adolescent Wellness
• The Lakewood of Voorhees Operator (The Voorhees Care & Rehabilitation Center)
• The OB/GYN Specialist, LLC
• The Pines at Voorhees Rehabilitation and Healthcare Center LLC (Echelon Care and Rehab)

• Behavior Analyst in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.