Provider Demographics
NPI:1073198941
Name:BRAXTON, ALONDA N (BCBA)
Entity Type:Individual
Prefix:MS
First Name:ALONDA
Middle Name:N
Last Name:BRAXTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2639
Mailing Address - Country:US
Mailing Address - Phone:908-216-0610
Mailing Address - Fax:
Practice Address - Street 1:35 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2639
Practice Address - Country:US
Practice Address - Phone:908-216-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst