Individual provider Active NPI

Eita Breiner

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1205749249
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
15BC00425400 Issued in NJ
Practice address
1990 Swarthmore Ave
Lakewood, NJ 08701-4580
Phone
(732) 661-8866
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 15BC00425400 NJ Primary

Addresses

Primary practice location

1990 Swarthmore Ave
Lakewood, NJ 08701-4580

Mailing address

25 Garfield St
Lakewood, NJ 08701-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1205749249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GARFIELD ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SWARTHMORE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014580",
            "telephone_number": "732-661-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINER",
        "first_name": "EITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00425400",
            "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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.