Behavoir Alternatives for Special Kids, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12904 Issued in NJ

Legal business name

BEHAVOIR ALTERNATIVES FOR SPECIAL KIDS, LLC

Practice address

60 Baldwin St
#7A
Bloomfield, NJ 07003-2767

Phone

(973) 602-7108

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Salome Branas Gonzalez, MS.ED., BCBA

Title

Clinical Director

Phone

(973) 602-7108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1912309501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BALDWIN ST",
            "address_2": "#7A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032767",
            "telephone_number": "973-602-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BALDWIN ST",
            "address_2": "#7A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032767",
            "telephone_number": "973-602-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVOIR ALTERNATIVES FOR SPECIAL KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SALOME",
        "authorized_official_middle_name": "BRANAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "973-602-7108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-12904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.