Organization Active NPI

Kids Progress LLC

  • Behavior Analyst
  • Eatontown, NJ
National Provider Identifier
1760244040
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS PROGRESS LLC
Practice address
1 Main St Ste 416
Eatontown, NJ 07724-3904
Phone
(347) 957-2657
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Rachel GluckNPI 1841545985
Title
Lba
Phone
(347) 957-2657

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 AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1 Main St Ste 416
Eatontown, NJ 07724-3904

Mailing address

256 Throop Ave Apt 2C
Brooklyn, NY 11206-3633
Phone (347) 957-2657

National Provider Directory

National Provider Directory

Locations

1 Main St
Ste 416
Eatontown, NJ 07724
Phone (347) 957-2657

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1760244040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 THROOP AVE APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063633",
            "telephone_number": "347-957-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 416",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243904",
            "telephone_number": "347-957-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PROGRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "LBA",
        "authorized_official_telephone_number": "347-957-2657"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.