Provider Demographics
NPI:1982956058
Name:NJA THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:NJA THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI JAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHONDO
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L, SWC
Authorized Official - Phone:909-833-1099
Mailing Address - Street 1:310 N INDIAN HILL BLVD # 413
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4611
Mailing Address - Country:US
Mailing Address - Phone:909-833-1099
Mailing Address - Fax:888-856-3880
Practice Address - Street 1:1655 E 6TH ST SUITE 204
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879
Practice Address - Country:US
Practice Address - Phone:909-833-1099
Practice Address - Fax:888-856-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA 1473251C00000X
251C00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services