NPIMap

Organization Active NPI

Interactive Kids

  • Behavior Analyst
  • Marlton, NJ
National Provider Identifier
1831565365
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INTERACTIVE KIDS
Practice address
3002 Lincoln Dr W
Marlton, NJ 08053-1527
Phone
(856) 810-7599
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ms. Christie Micsko
Title
Behavior Consultant
Phone
(856) 397-7620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3002 Lincoln Dr W
Marlton, NJ 08053-1527

Mailing address

3002 Lincoln Dr W
Marlton, NJ 08053-1527
Phone (856) 810-7599

National Provider Directory

National Provider Directory

Locations

3002 Lincoln Dr W
Marlton, NJ 08053
Phone (856) 810-7599

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1831565365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531527",
            "telephone_number": "856-810-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531527",
            "telephone_number": "856-810-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "MICSKO",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "BEHAVIOR CONSULTANT",
        "authorized_official_telephone_number": "856-397-7620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.