Provider Demographics
NPI:1659886299
Name:ARTURI, JENNA KRISTIN (BCBA)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:KRISTIN
Last Name:ARTURI
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 1:550 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1016
Mailing Address - Country:US
Mailing Address - Phone:908-768-2333
Mailing Address - Fax:
Practice Address - Street 1:550 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1016
Practice Address - Country:US
Practice Address - Phone:908-768-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246Z00000X, 172V00000X
NJ1-22-57540103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No172V00000XOther Service ProvidersCommunity Health Worker