Cailin Jandora

Individual provider Active NPI Behavior Analyst · Stirling, NJ

NPI 1316619638 · NPPES record last updated Oct 5, 2021

Key facts

NPI
1316619638
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-52897 (NJ)
Practice address
1071 Valley Rd
Stirling, NJ 07980-1523
Phone
(908) 604-4500
NPI assigned
Oct 5, 2021
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-52897 NJ Yes

Addresses

Primary practice location

1071 Valley Rd
Stirling, NJ 07980-1523

Mailing address

131 Wingate Rd
Parsippany, NJ 07054-2428
Phone (973) 820-6359

Other identifiers

IdentifierTypeStateIssuer
205534878OtherNJTHE UNCOMMON THREAD

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL STIRLING Direct

Other providers in Stirling, NJ

All providers in Stirling, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.