Strive Pediatric Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

STRIVE PEDIATRIC THERAPY

Practice address

2304 Brunswick Ave
Lawrence Township, NJ 08648-4411

Phone

(888) 222-2645

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Julie Polanco, BCBA

Title

Owner

Phone

(347) 415-7049

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1831942929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23204 OSPREY WAY",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085505472",
            "telephone_number": "347-415-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 BRUNSWICK AVE",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086484411",
            "telephone_number": "888-222-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-415-7049",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046853",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lawrence Township, NJ
• Providers in Lawrence Township, 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 Dec 12, 2024; 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.