=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700771656
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEASURED SUCCESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2025
-----------------------------------------------------
Last Update Date | 06/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37 ROBERTS DR
-----------------------------------------------------
City | WESTAMPTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08060-4402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-200-1278
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 ROBERTS DR
-----------------------------------------------------
City | WESTAMPTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08060-4402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-200-1278
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, CEO, BCBA
-----------------------------------------------------
Name | WILLIAM BROWN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 609-200-1278
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------