Davaughn Brockett, BCBA
Behavior Analyst in Bloomfield, New Jersey
1295476182- Practice location
- 554 Bloomfield Ave Fl 4, Bloomfield, NJ 07003-3307
- Phone
- 973-771-3300
- Fax
- 973-679-2784
- Last updated
- April 5, 2022
Davaughn Brockett is a Behavior Analyst based in Bloomfield, NJ. Davaughn Brockett practices in Bloomfield, NJ and has the professional credentials of BCBA. The NPI Number for Davaughn Brockett is 1295476182 and holds a License No. 1-21-50228 (NJ). The current practice location address for Davaughn Brockett is 554 Bloomfield Ave Fl 4, Bloomfield, NJ 07003-3307 and can be reached out via phone at 973-771-3300 and via fax at 973-679-2784.
Provider Profile Details
- NPI Number
- 1295476182
- Provider Name
- Davaughn Brockett
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 554 Bloomfield Ave Fl 4, Bloomfield, NJ 07003-3307
- Phone Number
- 973-771-3300
- Fax Number
- 973-679-2784
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2022
- Last Update Date
- April 5, 2022
- Certification Date
- April 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 554 Bloomfield Ave Fl 4
Bloomfield, NJ 07003-3307 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3307
- Phone Number
- 973-771-3300
- Fax Number
- 973-679-2784
Provider Business Mailing Address Details
- Address
- 530 S Main St # 1
Phillipsburg, NJ 08865-3116 - City
- Phillipsburg
- State
- NJ
- Zip
- 08865-3116
- Phone Number
- 973-908-4953
License Information
- License Number
- 1-21-50228
- License State
- NJ
- 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 Davaughn Brockett, BCBA?
The NPI number of Davaughn Brockett, BCBA is 1295476182. It was assigned on April 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Davaughn Brockett, BCBA?
Davaughn Brockett, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-21-50228.
Where does Davaughn Brockett, BCBA practice?
The practice location is 554 Bloomfield Ave Fl 4, Bloomfield, NJ 07003-3307. The office can be reached at 973-771-3300 (phone) or 973-679-2784 (fax).
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 1295476182 directly on the NPPES registry website.