Healthcare Provider Details

I. General information

NPI: 1366100950
Provider Name (Legal Business Name): ASIONNA WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

884 S SPRINGFIELD AVE APT 14
SPRINGFIELD NJ
07081-3320
US

IV. Provider business mailing address

884 S SPRINGFIELD AVE APT 14
SPRINGFIELD NJ
07081-3320
US

V. Phone/Fax

Practice location:
  • Phone: 973-776-4388
  • Fax:
Mailing address:
  • Phone: 973-776-4388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: