Jaydel Hernandez
Individual provider Active NPI Behavior Technician · Old Greenwich, CT
NPI 1235919002 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1235919002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1445 E Putnam Ave
Old Greenwich, CT 06870-1379 - Phone
- (203) 622-8600
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1445 E Putnam Ave
Old Greenwich, CT 06870-1379
Mailing address
11 Bedford Ave Apt L2
Norwalk, CT 06850-3841
Phone (203) 252-9614
Other providers in Old Greenwich, CT
- Kimberly Ann Gronski
- Daniel Caleb Guarini
- Cristina Guzman
- Jamie Halcom
- Mary Louanna Heaven
- Victor Hernandez
- Tania Lee Hill
- Lindsay Madison Hodges
- Sarah Hoyt
- Elizabeth Andrews Hutchins
All providers in Old Greenwich, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.