Alijsh V Broadnax
Behavior Technician in Egg Harbor Township, New Jersey
1295533909- Practice location
- 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109
- Phone
- 609-218-8864
- Fax
- —
- Last updated
- March 6, 2025
Alijsh Vance Broadnax is a Behavior Technician based in Egg Harbor Township, NJ. Alijsh Vance Broadnax practices in Egg Harbor Township, NJ. The NPI Number for Alijsh Vance Broadnax is 1295533909 and holds a License No. 106S00000X (NJ). The current practice location address for Alijsh Vance Broadnax is 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109 and can be reached out via phone at 609-218-8864.
Provider Profile Details
- NPI Number
- 1295533909
- Provider Name
- Alijsh Vance Broadnax
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109
- Phone Number
- 609-218-8864
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2025
- Last Update Date
- March 6, 2025
- Certification Date
- March 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 407 Glenn Ave
Egg Harbor Township, NJ 08234-6109 - State
- New Jersey
- Zip
- 08234-6109
- Phone Number
- 609-218-8864
Provider Business Mailing Address Details
- Address
- 705 Cedar Ave
Cape May Court House, NJ 08210-2849 - City
- Cape May Court House
- State
- NJ
- Zip
- 08210-2849
- Phone Number
- 609-675-8144
License Information
- License Number
- 106S00000X
- License State
- NJ
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Alijsh V Broadnax?
The NPI number of Alijsh V Broadnax is 1295533909. It was assigned on March 6, 2025 and is currently active in the NPPES registry.
What is the specialty of Alijsh V Broadnax?
Alijsh V Broadnax is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in NJ under license number 106S00000X.
Where does Alijsh V Broadnax practice?
The practice location is 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109. The office can be reached at 609-218-8864 (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 1295533909 directly on the NPPES registry website.