Jennefer Cruz

Individual provider Active NPI Behavior Technician · Hillside, NJ

NPI 1326560665 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1326560665
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
364 Yale Ave Apt 3
Hillside, NJ 07205-2051
Phone
(908) 943-3068
NPI assigned
Jul 7, 2017
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 Technician 106S00000X Yes

Addresses

Primary practice location

364 Yale Ave Apt 3
Hillside, NJ 07205-2051

Mailing address

364 Yale Ave Apt 3
Hillside, NJ 07205-2051
Phone (908) 943-3068

Other providers in Hillside, NJ

All providers in Hillside, NJ · Behavior Technician in New Jersey

Sources for this page

Verify at the official NPI Registry.