Kaitlyn A Squires-Black, BCBA
Behavior Analyst in Tinton Falls, New Jersey
1104722289- Practice location
- 7 Benson St, Tinton Falls, NJ 07724-9772
- Phone
- 848-888-3204
- Fax
- —
- Last updated
- October 16, 2026
Kaitlyn Alaze Squires-Black is a Behavior Analyst based in Tinton Falls, NJ. Kaitlyn Alaze Squires-Black practices in Tinton Falls, NJ and has the professional credentials of BCBA. The NPI Number for Kaitlyn Alaze Squires-Black is 1104722289. The current practice location address for Kaitlyn Alaze Squires-Black is 7 Benson St, Tinton Falls, NJ 07724-9772 and can be reached out via phone at 848-888-3204.
Provider Profile Details
- NPI Number
- 1104722289
- Provider Name
- Kaitlyn Alaze Squires-Black
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7 Benson St, Tinton Falls, NJ 07724-9772
- Phone Number
- 848-888-3204
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 16, 2026
- Last Update Date
- October 16, 2026
- Certification Date
- October 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Benson St
Tinton Falls, NJ 07724-9772 - City
- Tinton Falls
- State
- New Jersey
- Zip
- 07724-9772
- Phone Number
- 848-888-3204
Provider Business Mailing Address Details
- Address
- 14 Foxfire Ln
Clinton, NJ 08809-2012 - City
- Clinton
- State
- NJ
- Zip
- 08809-2012
- Phone Number
- 908-809-8915
License Information
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kaitlyn A Squires-Black, BCBA?
The NPI number of Kaitlyn A Squires-Black, BCBA is 1104722289. It was assigned on October 16, 2026 and is currently active in the NPPES registry.
What is the specialty of Kaitlyn A Squires-Black, BCBA?
Kaitlyn A Squires-Black, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Kaitlyn A Squires-Black, BCBA practice?
The practice location is 7 Benson St, Tinton Falls, NJ 07724-9772. The office can be reached at 848-888-3204 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104722289 directly on the NPPES registry website.