Active NPIIndividual providerSole proprietor

Ellen Maniloff, MED, BCBA

Behavior Analyst in Medford, New Jersey

NPI Number1639318660
Practice location
32 Wrentham Dr, Medford, NJ 08055-3825
Fax
—
Last updated
February 15, 2009

Ellen Maniloff is a Behavior Analyst based in Medford, NJ. Ellen Maniloff practices in Medford, NJ and has the professional credentials of MED, BCBA. The NPI Number for Ellen Maniloff is 1639318660 and holds a License No. 1-03-1355. The current practice location address for Ellen Maniloff is 32 Wrentham Dr, Medford, NJ 08055-3825 and can be reached out via phone at 609-953-7673.

Provider Profile Details

NPI Number
1639318660
Provider Name
Ellen Maniloff
Credential
MED, BCBA
Provider Entity Type
Individual
Gender
Female
Address
32 Wrentham Dr, Medford, NJ 08055-3825
Phone Number
609-953-7673
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2009
Last Update Date
February 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Wrentham Dr
Medford, NJ 08055-3825
Zip
08055-3825
Phone Number
609-953-7673
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
32 Wrentham Dr
Medford, NJ 08055-3825
City
Medford
State
NJ
Zip
08055-3825
Phone Number
609-953-7673

License Information

License Number
1-03-1355
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellen Maniloff, MED, BCBA?

The NPI number of Ellen Maniloff, MED, BCBA is 1639318660. It was assigned on February 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Ellen Maniloff, MED, BCBA?

Ellen Maniloff, MED, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed under license number 1-03-1355.

Where does Ellen Maniloff, MED, BCBA practice?

The practice location is 32 Wrentham Dr, Medford, NJ 08055-3825. The office can be reached at 609-953-7673 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639318660 directly on the NPPES registry website.

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