Active NPI
Select Care ABA
- Behavior Analyst
- Lakewood, NJ
National Provider Identifier
1073106738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SELECT CARE ABA
- Practice address
- 1771 Madison Ave Ste 6
Lakewood, NJ 08701-1267 - Phone
- (732) 503-0379
- Fax
- (848) 288-9217
- NPI assigned
- Feb 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shmuel Reiner
- Title
- President
- Phone
- (732) 503-0379
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1771 Madison Ave Ste 6
Lakewood, NJ 08701-1267
Mailing address
1771 Madison Ave Ste 6
Lakewood, NJ 08701-1267
Phone (732) 503-0379
Other practice location 1
4 Miami Rd
Jackson, NJ 08527-1614
Phone (732) 552-8582
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Jackson, NJ
- NPI 1205540978
-
- Behavior Analyst
- Lakewood, NJ
- NPI 1245746221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1073106738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 MADISON AVE STE 6",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011267",
"telephone_number": "732-503-0379",
"fax_number": "848-288-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 MADISON AVE STE 6",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011267",
"telephone_number": "732-503-0379",
"fax_number": "848-288-9217"
}
],
"practiceLocations": [
{
"address_1": "4 Miami Rd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "NJ",
"postal_code": "085271614",
"country_code": "US",
"telephone_number": "732-552-8582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SELECT CARE ABA",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-13",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "REINER",
"authorized_official_first_name": "SHMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-503-0379"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.