Active NPI
Jillian Lissenden
- Behavior Analyst
- Bayonne, NJ
National Provider Identifier
1841871951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB382220
- Practice address
- 35 Newman Ave
Bayonne, NJ 07002-2313 - Phone
- (201) 232-3835
- NPI assigned
- Apr 20, 2021
- Last updated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB382220 | NJ | Primary |
Addresses
Primary practice location
35 Newman Ave
Bayonne, NJ 07002-2313
Mailing address
35 Newman Ave
Bayonne, NJ 07002-2313
Phone (201) 232-3835
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jill.lissenden@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB382220 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1841871951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 NEWMAN AVE",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022313",
"telephone_number": "201-232-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 NEWMAN AVE",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022313",
"telephone_number": "201-232-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISSENDEN",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "BACB382220",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jill.lissenden@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "35 Newman Ave",
"city": "Bayonne",
"state": "NJ",
"country_code": "US",
"postal_code": "070022313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.