IndividualActive
Alijsh Broadnax
NPI 1295533909 · Behavior Technician · Egg Harbor Township, NJ
Provider details
- NPI number
- 1295533909
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 106S00000X (NJ)
Practice location
407 Glenn Ave
Egg Harbor Township, NJ 08234-6109
Phone: (609) 218-8864
Mailing address
705 Cedar Ave
Cape May Court House, NJ 08210-2849
Registry dates
- Enumerated
- 2025-03-06
- Last updated
- 2025-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.