Healthcare Provider Details

I. General information

NPI: 1457274169
Provider Name (Legal Business Name): CHRISTEN JADE MC NAIR BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 HYDE AVE
ISELIN NJ
08830-2367
US

IV. Provider business mailing address

39 HYDE AVE
ISELIN NJ
08830-2367
US

V. Phone/Fax

Practice location:
  • Phone: 732-259-0499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00398900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: