Healthcare Provider Details

I. General information

NPI: 1699607986
Provider Name (Legal Business Name): KAREN CARDENAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MINNISINK RD
WAYNE NJ
07470-4810
US

IV. Provider business mailing address

15 MINNISINK RD
WAYNE NJ
07470-4810
US

V. Phone/Fax

Practice location:
  • Phone: 973-914-5559
  • Fax:
Mailing address:
  • Phone: 973-914-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number730589
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: