Active NPIOrganization

Hazel Behavioral Health, LLC

Behavior Analyst in Audubon, New Jersey

NPI Number1215311030
Practice location
545 Dewey Parker Ave, Audubon, NJ 08106-1905
Fax
—
Last updated
July 10, 2015

Hazel Behavioral Health, LLC is a healthcare organization based in Audubon, NJ. Hazel Behavioral Health, LLC practices in Audubon, NJ. The NPI Number for Hazel Behavioral Health, LLC is 1215311030 and holds a License No. 1-07-3906 (NJ). The current practice location address for Hazel Behavioral Health, LLC is 545 Dewey Parker Ave, Audubon, NJ 08106-1905 and can be reached out via phone at 609-922-4114.

Provider Profile Details

NPI Number
1215311030
Provider Name
Hazel Behavioral Health, LLC
Provider Entity Type
Organization
Address
545 Dewey Parker Ave, Audubon, NJ 08106-1905
Phone Number
609-922-4114
Primary Taxonomy
Behavior Analyst · 103K00000X
Organization Subpart
No
Authorized Official
Ms. Colleen E Reilly · Director · 609-922-4114
Other Names
Hazel Behavioral Health (Doing Business As)
Provider Enumeration Date
July 10, 2015
Last Update Date
July 10, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
545 Dewey Parker Ave
Audubon, NJ 08106-1905
Zip
08106-1905
Phone Number
609-922-4114
Audubon, NJ 08106Get directions →

Provider Business Mailing Address Details

Address
545 Dewey Parker Ave
Audubon, NJ 08106-1905
City
Audubon
State
NJ
Zip
08106-1905
Phone Number
609-922-4114

License Information

License Number (1)
1-07-3906
License State (1)
NJ
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
1-07-3906
License State (2)
NJ
Taxonomy (2)
Community/Behavioral Health · 251S00000X
License Number (3)
1-07-3906
License State (3)
NJ
Taxonomy (3)
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 Hazel Behavioral Health, LLC?

The NPI number of Hazel Behavioral Health, LLC is 1215311030. It was assigned on July 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Hazel Behavioral Health, LLC?

Hazel Behavioral Health, LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-07-3906.

Where does Hazel Behavioral Health, LLC practice?

The practice location is 545 Dewey Parker Ave, Audubon, NJ 08106-1905. The office can be reached at 609-922-4114 (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 1215311030 directly on the NPPES registry website.

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