Active NPI
Skill Sets Therapy
- Behavior Analyst
- Lakewood, NJ
National Provider Identifier
1760912034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SKILL SETS THERAPY
- Practice address
- 13 Empire LN
Lakewood, NJ 08701-5162 - Phone
- (848) 299-2274
- NPI assigned
- Jun 19, 2017
- Last updated
- Jul 21, 2022
- 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
- Raphael Miller
- Title
- Director
- Phone
- (848) 299-2274
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
13 Empire LN
Lakewood, NJ 08701-5162
Mailing address
13 Empire LN
Lakewood, NJ 08701-5162
Phone (848) 299-2274
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1760912034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 EMPIRE LN",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015162",
"telephone_number": "848-299-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 EMPIRE LN",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015162",
"telephone_number": "848-299-2274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILL SETS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "848-299-2274"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.