Organization Active NPI

Shining Moments NJ LLC

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1265326888
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHINING MOMENTS NJ LLC
Practice address
1 Crimson CT
Lakewood, NJ 08701-4068
Phone
(917) 494-2481
NPI assigned
Jun 6, 2025
Last updated
Aug 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Authorized official

Name
Brittany Marshall
Title
Credentialing Manager
Phone
(713) 837-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1 Crimson CT
Lakewood, NJ 08701-4068

Mailing address

1 Crimson CT
Lakewood, NJ 08701-4068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1265326888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRIMSON CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRIMSON CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014068",
            "telephone_number": "917-494-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING MOMENTS NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "713-837-7655"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Aug 9, 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.