AUTISM SPECTRUM MANDATE SERVICES
NPI 1336409473
Behavior Analyst in Medford, NJ

NPI Status: Active since May 23, 2012

Contact Information

4 MILL RUN CT
MEDFORD, NJ
ZIP 08055
Phone: (609) 953-5793

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  • Organization
  • Behavior Analyst

About AUTISM SPECTRUM MANDATE SERVICES

This page provides the complete NPI Profile along with additional information for Autism Spectrum Mandate Services, a provider established in Medford, New Jersey operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1336409473 assigned on May 2012. The practitioner's primary taxonomy code is 103K00000X with license number 1084410 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Rebecca Khettry-clay M.a.,b.c.b.a. (Founder)

NPI
1336409473
Provider Name
AUTISM SPECTRUM MANDATE SERVICES
Entity Type
Organization
Location Address
4 MILL RUN CT MEDFORD, NJ 08055
Location Phone
(609) 953-5793
Mailing Address
4 MILL RUN CT MEDFORD, NJ 08055
Mailing Phone
(609) 953-5793
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-23-2012
Last Update Date
05-23-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
1084410
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. REBECCA KHETTRY-CLAY M.A.,B.C.B.A.

Authorized Official Title
FOUNDER
Authorized Official Phone
(609) 953-5793

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336409473
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23668018414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 0 + 1 + 8 + 4 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1336409473 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972830735 REBECCA KHETTRY-CLAY
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1861015273 JESSICA WROBLE MA, BCBA
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1457921769 STACY ASEMOTA BCBA
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1669042875 JULIE WINISTORFER
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1497328785 ALYSSA CARR
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1891462974 SEAN MINOR
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1245906098 MEGAN ELIZABETH MAZZANNA
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1275209827 KARIN E ROBBINS RBT
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1376212225 OLIVIA GRANT
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1104598465 KELSEY LYNN MILLER
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1467119636 RIANNA M ALVARADO AA, RBT CERT
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1427709518 AMANDA L MAGANA
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1528719390 ALEXANDRIA MCINTYRE
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1720739741 KEEAIRA M MEEDS
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1902557051 BRIAN FEINGOLD
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1336893353 SARAH SPRINGER
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1023743937 CORINNE A CHUN
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1194446864 MICHAELA J MAFFETONE
Individual
Behavior Technician4 MILL RUN CT
MEDFORD, NJ 08055
(609) 440-5792
1275236887 CARMEN CLEARY
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793
1053190264 ALLISON SAMSON
Individual
Behavior Analyst4 MILL RUN CT
MEDFORD, NJ 08055
(609) 953-5793

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336409473, enumerated in the NPI registry as an "organization" on May 23, 2012

The provider is located at 4 Mill Run Ct Medford, Nj 08055 and the phone number is (609) 953-5793

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on May 23, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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