Individual provider Active NPI

Edna Vision

  • Behavior Analyst
  • Clifton, NJ
National Provider Identifier
1891206934
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40938 Issued in HI
Practice address
377 Valley Rd Unit 3482
Clifton, NJ 07013-1319
Phone
(917) 574-2279
NPI assigned
Oct 17, 2017
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X HI
Behavior Analyst 103K00000X 1-20-40938 HI Primary

Addresses

Primary practice location

377 Valley Rd Unit 3482
Clifton, NJ 07013-1319

Mailing address

377 Valley Rd Unit 3482
Clifton, NJ 07013-1319
Phone (917) 574-2279

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ednas Vision ABA Behavior Analyst CurrentSince May 16, 2022 Accepting new patients

Locations

377 Valley Rd
Unit 3482
Clifton, NJ 07013
Phone (917) 574-2279

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1891206934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD UNIT 3482",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "917-574-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD UNIT 3482",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "917-574-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISION",
        "first_name": "EDNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-20-40938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.