Individual ProviderJennifer PadillaBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address329 Aycrigg Ave, Passaic, NJ 07055-3713(973) 471-3046PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Padilla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447992557Provider TypeIndividualFull NamePadilla, JenniferCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date4/9/2022Last Updated4/9/2022Contact InformationPractice LocationPractice Address329 Aycrigg Ave, Passaic, NJ 07055-3713Phone(973) 471-3046FaxUnlisted FaxMailing LocationMailing Address329 Aycrigg Ave, Passaic, NJ 07055-3713PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-22-58393New Jersey