Provider Demographics
NPI:1649081712
Name:JAYA, ASHLEY B
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:B
Last Name:JAYA
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 1:7 MOUNTAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREEN TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-2121
Mailing Address - Country:US
Mailing Address - Phone:973-460-5008
Mailing Address - Fax:
Practice Address - Street 1:7 MOUNTAINVIEW DR
Practice Address - Street 2:
Practice Address - City:GREEN TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07821-2121
Practice Address - Country:US
Practice Address - Phone:973-460-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician