Active NPIIndividual provider

David J Fazenbaker

Behavior Technician in Bridgeton, New Jersey

NPI Number1770430530
Practice location
10 Magnolia Ave Bldg A, Bridgeton, NJ 08302-1760
Fax
718-865-5165
Last updated
March 11, 2026

David Joseph Fazenbaker is a Behavior Technician based in Bridgeton, NJ. David Joseph Fazenbaker practices in Bridgeton, NJ. The NPI Number for David Joseph Fazenbaker is 1770430530 and holds a License No. RBT-26-520288 (NJ). The current practice location address for David Joseph Fazenbaker is 10 Magnolia Ave Bldg A, Bridgeton, NJ 08302-1760 and can be reached out via phone at 718-215-5311 and via fax at 718-865-5165.

Provider Profile Details

NPI Number
1770430530
Provider Name
David Joseph Fazenbaker
Provider Entity Type
Individual
Gender
Male
Address
10 Magnolia Ave Bldg A, Bridgeton, NJ 08302-1760
Phone Number
718-215-5311
Fax Number
718-865-5165
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
March 11, 2026
Last Update Date
March 11, 2026
Certification Date
March 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Magnolia Ave Bldg A
Bridgeton, NJ 08302-1760
Zip
08302-1760
Phone Number
718-215-5311
Fax Number
718-865-5165
Bridgeton, NJ 08302Get directions →

Provider Business Mailing Address Details

Address
Po Box 360595, Pittsburgh PA 15251
Pittsburgh, PA 15251-0001
City
Pittsburgh
State
PA
Zip
15251-0001
Phone Number
718-215-5311
Fax Number
718-865-5165

License Information

License Number
RBT-26-520288
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 David J Fazenbaker?

The NPI number of David J Fazenbaker is 1770430530. It was assigned on March 11, 2026 and is currently active in the NPPES registry.

What is the specialty of David J Fazenbaker?

David J Fazenbaker is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in NJ under license number RBT-26-520288.

Where does David J Fazenbaker practice?

The practice location is 10 Magnolia Ave Bldg A, Bridgeton, NJ 08302-1760. The office can be reached at 718-215-5311 (phone) or 718-865-5165 (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 1770430530 directly on the NPPES registry website.

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