Healthcare Provider Details

I. General information

NPI: 1053229500
Provider Name (Legal Business Name): ASHLEY-YVONNE GALVAN HALADY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ASHLEY HALADY

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 US HIGHWAY 206
FLANDERS NJ
07836-9189
US

IV. Provider business mailing address

3 S 2ND AVE
MINE HILL NJ
07803-2931
US

V. Phone/Fax

Practice location:
  • Phone: 201-562-9411
  • Fax:
Mailing address:
  • Phone: 973-444-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: