Individual
JAIDEN CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 BROAD ST, NEWARK, NJ 07102-4415
(973) 434-5081
Mailing address
317 EAST ST, BOUND BROOK, NJ 08805-2012
(347) 537-8223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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