Provider Demographics
NPI:1689376451
Name:ZEN BEHAVIOR
Entity Type:Organization
Organization Name:ZEN BEHAVIOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,CEO,BCBA
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONFORTH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:973-573-2396
Mailing Address - Street 1:30 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1409
Mailing Address - Country:US
Mailing Address - Phone:973-573-2396
Mailing Address - Fax:
Practice Address - Street 1:85 HERSHEY RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5537
Practice Address - Country:US
Practice Address - Phone:973-573-2396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty