Provider Demographics
NPI:1013577048
Name:JENKINS, TREVOR (BCBA)
Entity Type:Individual
Prefix:
First Name:TREVOR
Middle Name:
Last Name:JENKINS
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 ANDOVER PL
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3416
Mailing Address - Country:US
Mailing Address - Phone:949-307-0709
Mailing Address - Fax:
Practice Address - Street 1:143 ANDOVER PL
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3416
Practice Address - Country:US
Practice Address - Phone:949-307-0709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-20
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-19-34850103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst