Basic Information
| Provider Information | |||||||||
| NPI: | 1659886299 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARTURI | ||||||||
| FirstName: | JENNA | ||||||||
| MiddleName: | KRISTIN | ||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 SPRINGFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | BERKELEY HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079221016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087682333 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 550 SPRINGFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | BERKELEY HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079221016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087682333 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2017 | ||||||||
| LastUpdateDate: | 07/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246Z00000X | N | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | 172V00000X | N | Other Service Providers | Community Health Worker | 103K00000X | 1-22-57540 | NJ | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.