Provider Demographics
NPI:1659138295
Name:FLEURIMOND, JADA DANIELLE
Entity Type:Individual
Prefix:
First Name:JADA
Middle Name:DANIELLE
Last Name:FLEURIMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2186
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08902
Mailing Address - Country:US
Mailing Address - Phone:718-215-5311
Mailing Address - Fax:
Practice Address - Street 1:2186 NJ-27, NJ 08902
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08092
Practice Address - Country:US
Practice Address - Phone:732-339-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician