Active NPI
Patrick Rehder
- Behavior Analyst
- Mount Laurel, NJ
National Provider Identifier
1972123263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53382
- Practice address
- 1000 Crawford PL
Mount Laurel, NJ 08054-3932 - Phone
- (856) 628-1686
- NPI assigned
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-18-9279 | ||
| Behavior Analyst | 103K00000X | 1-21-53382 | Primary |
Addresses
Primary practice location
1000 Crawford PL
Mount Laurel, NJ 08054-3932
Mailing address
1000 Crawford PL
Mount Laurel, NJ 08054-3932
Phone (856) 628-1686
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1972123263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CRAWFORD PL",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543932",
"telephone_number": "856-628-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CRAWFORD PL",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543932",
"telephone_number": "856-628-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHDER",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-16",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": "0-18-9279",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-53382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.