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MR. SHALOM BORUKHOV BCBA
NPI 1376406546
Behavior Analyst in Lakewood, NJ

Active since December 04, 2025
1508 MALIBU DR, LAKEWOOD, NJ 08701(347) 325-8111 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Shalom Borukhov Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHALOM BORUKHOV BCBA (NPI 1376406546) is an individual behavior analyst provider in Lakewood, New Jersey, licensed in New Jersey (12586213) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1376406546
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. SHALOM BORUKHOVCredential: BCBA
Location Address1508 MALIBU DRLakewood, NJ 08701-3913
Mailing Address1508 Malibu DrLakewood, NJ 08701-3913 · (347) 325-8111
Phone(347) 325-8111
Sole ProprietorYes
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1376406546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in NJ · 12586213
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1508 MALIBU DR, Lakewood, NJ 08701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalom Borukhov's NPI number?

The NPI number for Shalom Borukhov is 1376406546. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Shalom Borukhov located?

Shalom Borukhov practices at 1508 Malibu Dr, Lakewood, NJ 08701. The listed phone number is (347) 325-8111.

What is Shalom Borukhov's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shalom Borukhov was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.