Healthcare Provider Details

I. General information

NPI: 1821334111
Provider Name (Legal Business Name): ALPINE LEARNING GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2012
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 PARAMUS ROAD
PARAMUS NJ
07652
US

IV. Provider business mailing address

777 PARAMUS RD
PARAMUS NJ
07652-1710
US

V. Phone/Fax

Practice location:
  • Phone: 201-612-7800
  • Fax: 201-670-1988
Mailing address:
  • Phone: 201-612-7800
  • Fax: 201-612-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ERIN RICHARD WHITE
Title or Position: DIRECTOR OF ADULT & TRANSITION SERV
Credential: PH.D., BCBA-D
Phone: 201-612-7800