Wellformed AI

NPI 1316780646 · live from the CMS NPI Registry

Advanta Autism Care LLC

Behavior Analyst in Jackson, NJ. National Provider Identifier 1316780646, active.

NPI record

NPI1316780646 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location8 Kensington Ct, Jackson, NJ 08527
Practice phone732-575-0437
EnumeratedJune 14, 2024
Last updatedJune 14, 2024
Authorized officialZev Lover, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Behavior Analyst primary103K00000X—
Psychologist, Cognitive & Behavioral103TB0200X—
Psychologist, Intellectual & Developmental Disabilities103TM1800X—
Assistant Behavior Analyst106E00000X—
Behavior Technician106S00000X—
Pediatrics, Developmental - Behavioral Pediatrics2080P0006X—
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry2084B0040X—
Occupational Therapist225X00000X—
Specialist/Technologist, Speech-Language Assistant2355S0801X—
Speech-Language Pathologist, 235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.