Individual provider Active NPI

Sara Kahan, PSYD, BCBA

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1053911040
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12 Julius Way
Lakewood, NJ 08701-6163
Phone
(732) 965-6444
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12 Julius Way
Lakewood, NJ 08701-6163

Mailing address

7 Burgundy Way
Lakewood, NJ 08701-4670
Phone (848) 525-0121

Other practice location 1

7 Burgundy Way
Lakewood, NJ 08701-4670
Phone (848) 525-0121

Other practice location 2

699 Cross St
Lakewood, NJ 08701-4681
Phone (732) 666-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1053911040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BURGUNDY WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014670",
            "telephone_number": "848-525-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JULIUS WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016163",
            "telephone_number": "732-965-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Burgundy Way",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014670",
            "country_code": "US",
            "telephone_number": "848-525-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Cross St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014681",
            "country_code": "US",
            "telephone_number": "732-666-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHAN",
        "first_name": "SARA",
        "credential": "PSYD,  BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.