Active NPI
Kids Progress LLC
- Behavior Analyst
- Eatontown, NJ
National Provider Identifier
1760244040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Gluck
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.