Healthcare Provider Details

I. General information

NPI: 1023792785
Provider Name (Legal Business Name): ALEA HEMMING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MICHAEL DR
WAYNE NJ
07470-3464
US

IV. Provider business mailing address

48 MICHAEL DR
WAYNE NJ
07470-3464
US

V. Phone/Fax

Practice location:
  • Phone: 973-986-9614
  • Fax:
Mailing address:
  • Phone: 973-986-9614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA0783
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: