NPIMap

Organization Active NPI

Teach to Reach LLC

  • Behavior Analyst
  • Jackson, NJ
National Provider Identifier
1194542175
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TEACH TO REACH LLC
Practice address
48 Forest Dr
Jackson, NJ 08527-1504
Phone
(561) 531-1192
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Sarah Gomolin, BCBA
Title
Clinical Director
Phone
(561) 531-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

48 Forest Dr
Jackson, NJ 08527-1504

Mailing address

48 Forest Dr
Jackson, NJ 08527-1504
Phone (561) 531-1192

National Provider Directory

National Provider Directory
Tax ID family
Teach to Reach LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1194542175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 FOREST DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271504",
            "telephone_number": "561-531-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 FOREST DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271504",
            "telephone_number": "561-531-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACH TO REACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "GOMOLIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-531-1192",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.