IndividualActive
David Fazenbaker
NPI 1770430530 · Behavior Technician · Bridgeton, NJ
David Fazenbaker is a Behavior Technician provider in Bridgeton, NJ (NPI 1770430530).
Provider details
- NPI number
- 1770430530
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-26-520288 (NJ)
Practice location
10 Magnolia Ave Bldg a
Bridgeton, NJ 08302-1760
Phone: (718) 215-5311
Fax: (718) 865-5165
Street-level locationGet directions
Mailing address
Po Box 360595, Pittsburgh PA 15251
Pittsburgh, PA 15251-0001
Registry dates
- Enumerated
- 2026-03-11
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.