Zaire Sameer Codrington
Individual provider Active NPI Behavior Analyst · Roselle, NJ
NPI 1407618176 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1407618176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 126 Douglas Rd
Roselle, NJ 07203-3001 - Phone
- (862) 218-3692
- NPI assigned
- Jan 29, 2024
- Sex
- Male
- 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 Analyst | 103K00000X | NJ | Yes |
Addresses
Primary practice location
126 Douglas Rd
Roselle, NJ 07203-3001
Mailing address
126 Douglas Rd
Roselle, NJ 07203-3001
Phone (862) 218-3692
Other providers in Roselle, NJ
- Pierrette Cesar
- Lucy A. Chan-Wong
- Children'S Dental Health Associates of Roselle P.C.
- Cobar LLC
- Charles L. Coble
- Community Access Unlimitd Inc
- Community Access Unlimitd Inc
- Community Access Unlimitd Inc
- Community Access Unlimitd Inc
- Community Access Unlimitd Inc
All providers in Roselle, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. 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.