MEDICARE: MRS. SMRITI KEATING BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1093225039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SMRITI KEATING BCBA

Provider Business Mailing Address
First Line	:	5 RAVEN LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4968
Country	:	US
Telephone Number	:	732-730-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 RAVEN LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4968
Country	:	US
Telephone Number	:	732-730-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	10/04/2017

Similar Medicare Providers

1962238204 — AHUVA KLEIN SLP-CCC-TSSLD
Practice Location Address:

6 RAVEN LN
LAKEWOOD, NJ
08701-4968

Practice Phone: 718-916-8752
Practice Fax:

1467723445 — MS. DINA MAIEROVITS MS RD
Practice Location Address:

9 RAVEN LN
LAKEWOOD, NJ
08701-4968

Practice Phone: 732-737-7576
Practice Fax:

1932525649 — RENA KAPLAN OT
Practice Location Address:

1 RAVEN LN
LAKEWOOD, NJ
08701-4968

Practice Phone: 732-534-0091
Practice Fax:

1942711627 — CHRISTINE E DOUGHERTY BCBA
Practice Location Address:

5 RAVEN LN
LAKEWOOD, NJ
08701-4968

Practice Phone: 732-730-0700
Practice Fax:

1912413477 — MEGAN ELIZABETH DOMZALSKI MA, BCBA
Practice Location Address:

5 RAVEN LN
LAKEWOOD, NJ
08701-4968

Practice Phone: 732-730-0700
Practice Fax:

1649765496 — BATSHEVA FRIEDMAN
Practice Location Address:

2 RAVEN LN
LAKEWOOD, NJ
08701-4968

Practice Phone: 718-377-5000
Practice Fax: 718-377-5002

Directions to “ MRS. SMRITI KEATING BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.