Active NPI
Shannon Kiser, RBT
- Behavior Technician
- Toms River, NJ
National Provider Identifier
1376258897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-244138
- Practice address
- 996 Fischer Blvd
Toms River, NJ 08753-3843 - Phone
- (732) 310-6861
- NPI assigned
- Jan 19, 2023
- Last updated
- Oct 2, 2024
- 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 Technician | 106S00000X | RBT-22-244138 | NJ | Primary |
Addresses
Primary practice location
996 Fischer Blvd
Toms River, NJ 08753-3843
Mailing address
996 Fischer Blvd
Toms River, NJ 08753-3843
Phone (732) 310-6861
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-244138 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1376258897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 FISCHER BLVD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087533843",
"telephone_number": "732-310-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 FISCHER BLVD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087533843",
"telephone_number": "732-310-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "SHANNON",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-19",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "RBT-22-244138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.