Provider Demographics
NPI:1831935246
Name:PLATERO, NAYA JADE
Entity type:Individual
Prefix:
First Name:NAYA
Middle Name:JADE
Last Name:PLATERO
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 1:28 CHELSEA AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1212
Mailing Address - Country:US
Mailing Address - Phone:201-705-4580
Mailing Address - Fax:
Practice Address - Street 1:28 CHELSEA AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1212
Practice Address - Country:US
Practice Address - Phone:201-705-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician