Individual provider Active NPI

Miri Kasten

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1205526019
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-64377 Issued in NJ
Practice address
36 Airport Rd Ste 205
Lakewood, NJ 08701-7034
Phone
(732) 399-0001
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 1-23-64377 NJ Primary

Addresses

Primary practice location

36 Airport Rd Ste 205
Lakewood, NJ 08701-7034

Mailing address

29 Cherry St BSMT Door
Lakewood, NJ 08701-3608
Phone (347) 213-0499

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Behavior Support LLC Behavior Analyst CurrentSince May 21, 2023 Accepting new patients
Mini Mine LLC Past Accepting new patients

Locations

36 Airport Rd
Ste 205
Lakewood, NJ 08701
Phone (732) 399-0001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1205526019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHERRY ST BSMT DOOR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013608",
            "telephone_number": "347-213-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 AIRPORT RD STE 205",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017034",
            "telephone_number": "732-399-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTEN",
        "first_name": "MIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-23-64377",
            "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 Feb 4, 2025; 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.