Individual provider · NPI-1
Jaiden Chavis
Behavior Technician · Newark, NJ
NPI number1275452971
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1275452971
- Entity type
- Individual (NPI-1)
- Name
- Jaiden Chavis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2026
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
625 Broad StNewark, NJ 07102-4415
Phone 973-434-5081
Mailing address
317 East StBound Brook, NJ 08805-2012
Phone 347-537-8223
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