Pivotal ABA, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PIVOTAL ABA, LLC

Practice address

524 10TH St
Lyndhurst, NJ 07071-2723

Phone

(551) 301-9000

Fax

(551) 284-8090

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Thomas M Hansen, BCBA, LBANPI 1134531841

Title

Executive Clinical Director

Phone

(551) 301-9000

Specialties & licenses 3

Addresses

Practitioners 1

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

• Thomas Matthew Hansen, BCBA

  • Behavior Analyst
  • Lyndhurst, NJ
  • NPI 1134531841
  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1912622788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 10TH ST",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712723",
            "telephone_number": "551-301-9000",
            "fax_number": "551-284-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 10TH ST",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712723",
            "telephone_number": "551-301-9000",
            "fax_number": "551-284-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "551-301-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andre Pierce
• Dustin Plutt
• Jose Luis Posos, M.ED., LPC, NCC
• Precision Monitoring Group
• Professional Occupational & Physical Therapy, PLLC
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• Community/Behavioral Health Agency in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.