Active NPI
Jannah Elrashidi
- Behavior Technician
- Matawan, NJ
National Provider Identifier
1720969017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB137320
- Practice address
- 14 Cliffwood Ave
Matawan, NJ 07747-3908 - Phone
- (732) 466-3993
- Fax
- (732) 686-0004
- NPI assigned
- Sep 11, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB137320 | NJ | Primary |
Addresses
Primary practice location
14 Cliffwood Ave
Matawan, NJ 07747-3908
Mailing address
14 Autumn LN
Freehold, NJ 07728-7747
Phone (732) 466-3993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB137320 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720969017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 AUTUMN LN",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077287747",
"telephone_number": "732-466-3993",
"fax_number": "732-686-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CLIFFWOOD AVE",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473908",
"telephone_number": "732-466-3993",
"fax_number": "732-686-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELRASHIDI",
"first_name": "JANNAH",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "BACB137320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.