Provider Demographics
NPI:1679374656
Name:JARRELL, JEFFREY (BCBA)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:JARRELL
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08097-1501
Mailing Address - Country:US
Mailing Address - Phone:304-816-9015
Mailing Address - Fax:
Practice Address - Street 1:3000 ATRIUM WAY STE 430
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3914
Practice Address - Country:US
Practice Address - Phone:304-816-9015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst