Provider Demographics
NPI:1346042959
Name:CHADHA, JENIT KAUR
Entity type:Individual
Prefix:
First Name:JENIT
Middle Name:KAUR
Last Name:CHADHA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CELADON ST APT 204
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-7392
Mailing Address - Country:US
Mailing Address - Phone:415-680-7395
Mailing Address - Fax:
Practice Address - Street 1:220 CELADON ST APT 204
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-7392
Practice Address - Country:US
Practice Address - Phone:415-680-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician