Provider Demographics
NPI:1891482402
Name:ROBERSON, JILLIAN F
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:F
Last Name:ROBERSON
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 1:130 MILLHURST RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4004
Mailing Address - Country:US
Mailing Address - Phone:732-351-9933
Mailing Address - Fax:
Practice Address - Street 1:25 BROWNSTONE RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-3038
Practice Address - Country:US
Practice Address - Phone:732-351-9933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst