Harley Tidwell
Behavior Technician in Jackson, New Jersey
1144127192- Practice location
- 1 Kitay CT, Jackson, NJ 08527-3957
- Phone
- 505-234-1884
- Fax
- —
- Last updated
- October 22, 2026
Harley Tidwell is a Behavior Technician based in Jackson, NJ. Harley Tidwell practices in Jackson, NJ. The NPI Number for Harley Tidwell is 1144127192. The current practice location address for Harley Tidwell is 1 Kitay CT, Jackson, NJ 08527-3957 and can be reached out via phone at 505-234-1884.
Provider Profile Details
- NPI Number
- 1144127192
- Provider Name
- Harley Tidwell
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Kitay CT, Jackson, NJ 08527-3957
- Phone Number
- 505-234-1884
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 22, 2026
- Last Update Date
- October 22, 2026
- Certification Date
- October 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Kitay CT
Jackson, NJ 08527-3957 - City
- Jackson
- State
- New Jersey
- Zip
- 08527-3957
- Phone Number
- 505-234-1884
Provider Business Mailing Address Details
- Address
- 1 Kitay CT
Jackson, NJ 08527-3957 - City
- Jackson
- State
- NJ
- Zip
- 08527-3957
License Information
- License State
- NM
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Jackson, NJ
View all Behavior Technicians in Jackson →- Alexis A CastilloBehavior Technician · NPI 1093612038
- Arryana ValdezBehavior Technician · NPI 1659290419
- Chelsey MontanoBehavior Technician · NPI 1871449132
- Daniel JonesBehavior Technician · NPI 1275431694
- Erika HernandezBehavior Technician · NPI 1619803632
- Gretchen MontoyaBehavior Technician · NPI 1245138155
Frequently Asked Questions
What is the NPI number of Harley Tidwell?
The NPI number of Harley Tidwell is 1144127192. It was assigned on October 22, 2026 and is currently active in the NPPES registry.
What is the specialty of Harley Tidwell?
Harley Tidwell is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Harley Tidwell practice?
The practice location is 1 Kitay CT, Jackson, NJ 08527-3957. The office can be reached at 505-234-1884 (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 1144127192 directly on the NPPES registry website.