Healthcare Provider Details

I. General information

NPI: 1760303283
Provider Name (Legal Business Name): JAIME BEHRINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HARVALE DR
FLORHAM PARK NJ
07932-2137
US

IV. Provider business mailing address

15 HARVALE DR
FLORHAM PARK NJ
07932-2137
US

V. Phone/Fax

Practice location:
  • Phone: 732-597-8483
  • Fax: 732-597-8483
Mailing address:
  • Phone: 732-597-8483
  • Fax: 732-597-8483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00979000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: