Aderonke Aisagbonhi

Individual provider Active NPI Behavior Technician · Edison, NJ

NPI 1760034540 · NPPES record last updated Jul 12, 2019

Key facts

NPI
1760034540
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10 Parsonage Rd Ste 318
Edison, NJ 08837-2429
Phone
(732) 204-1635
Fax
(732) 204-1636
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hearts Support Services LLC Behavior Technician Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

10 Parsonage Rd Ste 318
Edison, NJ 08837-2429

Mailing address

213 Roanoke St
Woodbridge, NJ 07095-2553
Phone (908) 875-3625

Other providers in Edison, NJ

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

Sources for this page

Verify at the official NPI Registry.