MEDICARE: CHRISTIN DARDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician
3	372600000X	Adult Companion
4	373H00000X	Day Training/Habilitation Specialist
5	3747A0650X	Attendant Care Provider
6	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
7	385HR2065X	Child Physical Disabilities Respite Care
8	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1417525189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIN DARDEN

Provider Business Mailing Address
First Line	:	175 ROSEWOOD LN
Second Line	:
City	:	PORT READING
State	:	NJ
Zip	:	07064-1431
Country	:	US
Telephone Number	:	848-231-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 ROSEWOOD LN
Second Line	:
City	:	PORT READING
State	:	NJ
Zip	:	07064-1431
Country	:	US
Telephone Number	:	848-231-0054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	06/17/2021

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Directions to “ CHRISTIN DARDEN ” Practice Location

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