Shining Minds LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHINING MINDS LLC

Practice address

1 Stone Ave
Elmwood Park, NJ 07407-1150

Phone

(973) 572-4216

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Angelina Marie Longo, M.A., BCBANPI 1609506591

Title

Board Certified Behavior Analyst

Phone

(973) 647-2745

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelina Marie Longo, M.A, BCBA

  • Behavior Analyst
  • Elmwood Park, NJ
  • NPI 1609506591
  NPD Authorized official
• Ashley Diana Mondati, MA, BCBA

  • Behavior Analyst
  • Elmwood Park, NJ
  • NPI 1538971858
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1831843473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HOLLYWOOD AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041223",
            "telephone_number": "973-647-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONE AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071150",
            "telephone_number": "973-572-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "973-647-2745",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Elmwood Park, NJ
• Providers in Elmwood Park, 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 Feb 11, 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.