Active NPIIndividual providerSole proprietor

Mrs. Kendra Dickerson

Behavior Analyst in Fanwood, New Jersey

NPI Number1619349925
Practice location
95 Farley Ave, Fanwood, NJ 07023-1004
Fax
—
Last updated
October 26, 2015

Kendra Dickerson is a Behavior Analyst based in Fanwood, NJ. Kendra Dickerson practices in Fanwood, NJ. The NPI Number for Kendra Dickerson is 1619349925. The current practice location address for Kendra Dickerson is 95 Farley Ave, Fanwood, NJ 07023-1004 and can be reached out via phone at 646-260-3875.

Provider Profile Details

NPI Number
1619349925
Provider Name
Kendra Dickerson
Provider Entity Type
Individual
Gender
Female
Address
95 Farley Ave, Fanwood, NJ 07023-1004
Phone Number
646-260-3875
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2015
Last Update Date
October 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Farley Ave
Fanwood, NJ 07023-1004
Zip
07023-1004
Phone Number
646-260-3875
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
Po Box 185
Fanwood, NJ 07023-0185
City
Fanwood
State
NJ
Zip
07023-0185
Phone Number
646-260-3875

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 Mrs. Kendra Dickerson?

The NPI number of Mrs. Kendra Dickerson is 1619349925. It was assigned on October 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kendra Dickerson?

Mrs. Kendra Dickerson is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Mrs. Kendra Dickerson practice?

The practice location is 95 Farley Ave, Fanwood, NJ 07023-1004. The office can be reached at 646-260-3875 (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 1619349925 directly on the NPPES registry website.

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