Lifeline ABA LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFELINE ABA LLC

Practice address

250 Pehle Ave Ste 2001003
Saddle Brook, NJ 07663-5830

Phone

(310) 990-4443

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Nancy Fikry, BCBA

Title

Owner

Phone

(310) 990-4443

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1972201937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PEHLE AVE STE 2001003",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635830",
            "telephone_number": "330-990-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PEHLE AVE STE 2001003",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635830",
            "telephone_number": "310-990-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "FIKRY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-990-4443",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Anna Leja, APN
• Pietra Valentina Leone, DR.
• Danielle Marie Lesaint, PT, DPT
• Raymond Li, DO
• Lawrence Lieberman, DDS
• Jennifer Lee Lightsey
• Debra Limido
• Pamela Livecchi, PSYD
• Gabriella Anna Lo Piccolo
• Alison Luby, PT, DPT

• Community/Behavioral Health Agency in Saddle Brook, NJ
• Providers in Saddle Brook, 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 May 24, 2024; 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.