Organization Active NPI

The Skills Lab LLC

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1487492773
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE SKILLS LAB LLC
Practice address
150 Airport Rd Ste 980
Lakewood, NJ 08701-7044
Phone
(917) 635-2404
NPI assigned
Jul 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Sarah Friedman
Title
Co Owner
Phone
(917) 635-2404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

150 Airport Rd Ste 980
Lakewood, NJ 08701-7044

Mailing address

172 Tudor CT
Lakewood, NJ 08701-1471
Phone (917) 635-2404

National Provider Directory

National Provider Directory
Tax ID family
The Skills Lab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Airport Rd
Ste 980
Lakewood, NJ 08701
Phone (917) 635-2404

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1487492773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 TUDOR CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011471",
            "telephone_number": "917-635-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AIRPORT RD STE 980",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017044",
            "telephone_number": "917-635-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKILLS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "917-635-2404"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 19, 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.

Verify at the official NPI Registry.