Brooke Ashley Hanenberg | Passaic, NJ • PECOS Search

Brooke Ashley Hanenberg

Behavior Analyst

Behavioral Health & Social Service Providers

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046 (973) 851-4293

PECOS Enrollment

Based on the most recent information from CMS, provider Brooke Ashley Hanenberg does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417755331
Provider Type
Individual
Full Name
Hanenberg, Brooke Ashley
Credential
BCBA

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2025
Last Updated
3/5/2025

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

Unlisted Fax

Mailing Location

46 Basswood Ter, Wayne, NJ 07470-6142

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-14-9721 New Jersey