Provider Demographics
NPI:1588328769
Name:ALVARADO, NATASHA (RBT)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LEGION PL
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3209
Mailing Address - Country:US
Mailing Address - Phone:201-843-3274
Mailing Address - Fax:
Practice Address - Street 1:17 LEGION PL
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3209
Practice Address - Country:US
Practice Address - Phone:201-843-3274
Practice Address - Fax:201-483-7885
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRBT-21-186574106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician