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Deactivated NPI 1518288521 Deactivated / Inactive NPI Female Practitioner

Eileen Boothe

Behavior Analyst • Ridgewood, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eileen Boothe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2010
NPI Deactivation Date August 19, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Eileen Boothe was a registered Behavior Analyst practicing in Ridgewood, NJ. Throughout an active medical career spanning 9 years, Eileen Boothe provided care at the practice location at 10 WILSEY SQ until profile deactivation on 2019-08-19.

Practice Location & Contact Primary Location

Practice Address

10 Wilsey Sq
Suite 262

Ridgewood, NJ 074503792

Telephone 2012513800

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ridgewood, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Ridgewood, NJ (3790 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Keri Kennedy

Behavior Analyst

NPI 1962723973

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2019

Record deactivated on August 19, 2019

NPI Profile Active June 14, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2010

Registered at 10 WILSEY SQ, SUITE 262, RIDGEWOOD, NJ 074503792 (Tel: 2012513800)

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Updated Business Mailing Address June 14, 2010

Registered at 10 WILSEY SQ, SUITE 262, RIDGEWOOD, NJ 074503792 (Tel: 2012513800)

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Provider Name / Credentials Updated June 14, 2010

Recorded as EILEEN BOOTHE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2010

Behavior Analyst

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Initial NPI Registration & Enumeration June 14, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518288521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2010
Last Update: June 14, 2010
Deactivation Date: August 19, 2019

Mailing Address

10 Wilsey Sq, Suite 262

Ridgewood, NJ 074503792

Phone: 2012513800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.