Active NPI
Sora F Enock, MS ED, BCBA
- Behavior Analyst
- Jackson, NJ
National Provider Identifier
1205540978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-63513
- Practice address
- 4 Miami Rd
Jackson, NJ 08527-1614 - Phone
- (732) 552-8582
- NPI assigned
- Jan 9, 2023
- Last updated
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-63513 | NJ | Primary |
Addresses
Primary practice location
4 Miami Rd
Jackson, NJ 08527-1614
Mailing address
2 High St
Lakewood, NJ 08701-5223
Phone (732) 674-9863
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Care ABA | Behavior Analyst | Current | Accepting new patients |
Locations
1771 Madison Ave
Ste 6
Lakewood, NJ 08701
Phone (732) 503-0379
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Lakewood, NJ
- NPI 1003623828
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1477360295
-
- Behavior Analyst
- Lakewood, NJ
- NPI 1073106738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1205540978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HIGH ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015223",
"telephone_number": "732-674-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MIAMI RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271614",
"telephone_number": "732-552-8582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOCK",
"first_name": "SORA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "MS ED, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-23-63513",
"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 Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.