Healthcare Provider Details

I. General information

NPI: 1336069400
Provider Name (Legal Business Name): THE BEHAVIOR PLAYBOOK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 HILLSIDE AVE
TEANECK NJ
07666-4008
US

IV. Provider business mailing address

115 HILLSIDE AVE
TEANECK NJ
07666-4008
US

V. Phone/Fax

Practice location:
  • Phone: 201-518-6539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE TRUSTY
Title or Position: BEHAVIOR ANALYST
Credential: BCBA, LBA
Phone: 201-518-6539