Organization Active NPI

Key Autism Services NJ LLC

  • Behavior Technician
  • Tinton Falls, NJ
National Provider Identifier
1225642986
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
KEY AUTISM SERVICES NJ LLC
Practice address
106 Apple St Ste 221
Tinton Falls, NJ 07724-2670
Phone
(857) 829-4040
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Miss Isabel Ruby VincentNPI 1699578054
Title
Behavior Technician
Phone
(520) 225-9056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

106 Apple St Ste 221
Tinton Falls, NJ 07724-2670

Mailing address

106 Apple St Ste 221
Tinton Falls, NJ 07724-2670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1225642986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 221",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 221",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "857-829-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY AUTISM SERVICES NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "RUBY",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "520-225-9056",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.