Provider Demographics
NPI:1134653850
Name:SEWELL, CHINTEL (RBT)
Entity Type:Individual
Prefix:
First Name:CHINTEL
Middle Name:
Last Name:SEWELL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S 10TH ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2115
Mailing Address - Country:US
Mailing Address - Phone:732-757-5883
Mailing Address - Fax:
Practice Address - Street 1:320 S 10TH ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2115
Practice Address - Country:US
Practice Address - Phone:732-757-5883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician