Provider Demographics
NPI:1033995329
Name:TREVORROW, AARON JUSTUS
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JUSTUS
Last Name:TREVORROW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 EMMANS RD
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9055
Mailing Address - Country:US
Mailing Address - Phone:973-668-8745
Mailing Address - Fax:
Practice Address - Street 1:112 SPRINGHILL DR
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-1174
Practice Address - Country:US
Practice Address - Phone:973-668-8745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician