FUNDAMENTAL LICENSED BEHAVIOR ANALYST PLLC - NPI 1386345270

Q: What is Fundamental Licensed Behavior Analyst PLLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

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About Fundamental Licensed Behavior Analyst Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTAL LICENSED BEHAVIOR ANALYST PLLC (NPI 1386345270) is a healthcare organization registered as a behavior analyst in Jackson, New Jersey and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Brooklyn and lists Yosef Toledano, Member, as its authorized official.

NPPES Registry Identity

NPI1386345270

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameFUNDAMENTAL LICENSED BEHAVIOR ANALYST PLLC

Location Address667 RODRIGUES LNJackson, NJ 08527-4818

Mailing Address667 Rodrigues LnJackson, NJ 08527-4818 · (732) 314-3019

Phone(732) 314-3019

Organization SubpartNo

Authorized OfficialYosef ToledanoMember · (917) 831-9691

Enumeration DateMarch 16, 2023

Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration

NPPES CertifiedAugust 3, 2023

✔ NPI 1386345270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

667 RODRIGUES LN, Jackson, NJ 08527

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Secondary Practice Location 1

Location 11054 59th St Ste 1RBrooklyn, NY 11219-4824 · Phone (917) 831-9691

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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