NPI 1295476182

Davaughn Brockett, BCBA

Practitioner Behavior Analyst Bloomfield, NJ

Practice location

Address: 554 Bloomfield Ave Fl 4, Bloomfield, NJ 07003-3307
Phone: (973) 771-3300
Fax: (973) 679-2784
Mailing address: 530 S Main St # 1, Phillipsburg, NJ 08865-3116

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-21-50228 (NJ)

Other Behavior Analyst providers in New Jersey →

Registry record

NPI: 1295476182
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.