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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVAUGHN BROCKETT, BCBA

Active Sole Proprietor

DAVAUGHN BROCKETT, BCBA is a Behavior Analyst healthcare provider located in BLOOMFIELD, New Jersey. NPI 1295476182 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · BLOOMFIELD, NJ

Registration Details

NPI Number
1295476182
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2022 (4.3395492127151 yrs)
Last Updated
Apr 5, 2022
License
1-21-50228 (NJ)
Sole Proprietor
Yes

Practice Information

Address
554 BLOOMFIELD AVE FL 4
BLOOMFIELD, NJ, 070033307
Browse NJ providers · Browse ZIP 07003
Phone
9737713300
Fax
9736792784
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in BLOOMFIELD, NJ

Name Credential NPI
DR. KELLY ANN MERCORELLA PH.D. 1447771092
SAMANTHA JO LOCKHART M.A, BCBA 1932685336
AMELIA COYNE 1689158099
TIFFANY R JETTER-MACE M.A., BCBA 1811520653
LAUREN NOVAKOWSKI BCBA 1043839400
ALYSSA ARIEMMA BCBA 1003414731
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.