Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kellie Vanassche

Behavior Analyst β€’ Englewood Cliffs, NJ

Active NPI 1366819815 Individual Practitioner Female Practitioner
Practice location in NPPES

560 Sylvan Ave Ste 1110
Englewood Cliffs, NJ 076323118

Call 6468736600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

560 Sylvan Ave Ste 1110

Englewood Cliffs, NJ 076323118

Telephone 6468736600
Fax 6468594440
Organization at the Same NPPES Address or Phone
Golden Steps Aba Ma, Llc Facility NPI 1053955302

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Clinton Twp, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Englewood Cliffs and New Jersey

7 active clinicians are listed under Behavior Analyst with a practice address in Englewood Cliffs, NJ (3,769 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 1-22-58779

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.

Technician, Other

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Secondary Practice Locations

15930 19 Mile Rd

Clinton Twp, MI 480381155

Phone: 5864640175

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 22, 2024

Recorded as KELLIE VANASSCHE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2024

Technician, Other

πŸ“
Updated Practice Location April 05, 2022

Registered at 560 SYLVAN AVE STE 1110, ENGLEWOOD CLIFFS, NJ 076323118 (Tel: 6468736600)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Behavior Analyst (license number reported to NPPES: MI 1-22-58779)

βœ…
NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 31, 2015

Registered at 15930 19 MILE RD, CLINTON TWP, MI 480381155 (Tel: 5864640175)

πŸ“
Business Mailing Address (Initial Record) August 31, 2015

Registered at 15930 19 MILE RD, CLINTON TWP, MI 480381155 (Tel: 5864640175)

πŸ‘€
Provider Name / Credentials (Initial Record) August 31, 2015

Recorded as KELLIE VANNIEULANDE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Technician, Other

🟒
Initial NPI Registration & Enumeration August 31, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1366819815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2015
Last Update: March 22, 2024
Sole Proprietor: No

Mailing Address

15930 19 Mile Rd

Clinton Twp, MI 480381155

Phone: 5864640175

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.