Active NPIIndividual providerSole proprietor

Diamond J Mack, BACHELOR'S IN ART

Behavior Analyst in Rahway, New Jersey

NPI Number1174104756
Practice location
560 Capobianco Plz Apt D, Rahway, NJ 07065-5419
Fax
—
Last updated
April 15, 2021

Diamond Jacklyn Mack is a Behavior Analyst based in Rahway, NJ. Diamond Jacklyn Mack practices in Rahway, NJ and has the professional credentials of BACHELOR'S IN ART. The NPI Number for Diamond Jacklyn Mack is 1174104756. The current practice location address for Diamond Jacklyn Mack is 560 Capobianco Plz Apt D, Rahway, NJ 07065-5419 and can be reached out via phone at 908-463-5621.

Provider Profile Details

NPI Number
1174104756
Provider Name
Diamond Jacklyn Mack
Credential
BACHELOR'S IN ART
Provider Entity Type
Individual
Gender
Female
Address
560 Capobianco Plz Apt D, Rahway, NJ 07065-5419
Phone Number
908-463-5621
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 15, 2021
Last Update Date
April 15, 2021
Certification Date
April 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
560 Capobianco Plz Apt D
Rahway, NJ 07065-5419
City
Rahway
Zip
07065-5419
Phone Number
908-463-5621
Rahway, NJ 07065Get directions →

Provider Business Mailing Address Details

Address
560 Capobianco Plz Apt D
Rahway, NJ 07065-5419
City
Rahway
State
NJ
Zip
07065-5419
Phone Number
908-463-5621

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Diamond J Mack, BACHELOR'S IN ART?

The NPI number of Diamond J Mack, BACHELOR'S IN ART is 1174104756. It was assigned on April 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Diamond J Mack, BACHELOR'S IN ART?

Diamond J Mack, BACHELOR'S IN ART is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Diamond J Mack, BACHELOR'S IN ART practice?

The practice location is 560 Capobianco Plz Apt D, Rahway, NJ 07065-5419. The office can be reached at 908-463-5621 (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 1174104756 directly on the NPPES registry website.

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