Active NPIIndividual provider

Ketandra J Daley, RBT

Behavior Technician in Matawan, New Jersey

NPI Number1699512517
Practice location
14 Cliffwood Ave Ste 100, Matawan, NJ 07747-3930
Fax
—
Last updated
July 9, 2024

Ketandra Jordanne Daley is a Behavior Technician based in Matawan, NJ. Ketandra Jordanne Daley practices in Matawan, NJ and has the professional credentials of RBT. The NPI Number for Ketandra Jordanne Daley is 1699512517 and holds a License No. BACB974093 (NJ). The current practice location address for Ketandra Jordanne Daley is 14 Cliffwood Ave Ste 100, Matawan, NJ 07747-3930 and can be reached out via phone at 732-466-3993.

Provider Profile Details

NPI Number
1699512517
Provider Name
Ketandra Jordanne Daley
Credential
RBT
Provider Entity Type
Individual
Gender
Female
Address
14 Cliffwood Ave Ste 100, Matawan, NJ 07747-3930
Phone Number
732-466-3993
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
July 9, 2024
Last Update Date
July 9, 2024
Certification Date
July 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Cliffwood Ave Ste 100
Matawan, NJ 07747-3930
Zip
07747-3930
Phone Number
732-466-3993
Matawan, NJ 07747Get directions →

Provider Business Mailing Address Details

Address
14 Cliffwood Ave Ste 100
Matawan, NJ 07747-3930
City
Matawan
State
NJ
Zip
07747-3930

License Information

License Number
BACB974093
License State
NJ
Taxonomy
Behavior Technician · 106S00000X · 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 Ketandra J Daley, RBT?

The NPI number of Ketandra J Daley, RBT is 1699512517. It was assigned on July 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Ketandra J Daley, RBT?

Ketandra J Daley, RBT is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in NJ under license number BACB974093.

Where does Ketandra J Daley, RBT practice?

The practice location is 14 Cliffwood Ave Ste 100, Matawan, NJ 07747-3930. The office can be reached at 732-466-3993 (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 1699512517 directly on the NPPES registry website.

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