Organization Active NPI

Select Care ABA

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1073106738
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Mar 18, 2024

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.