Provider Demographics
NPI:1972395184
Name:TRENT, JALUN HEZEKIAH
Entity type:Individual
Prefix:
First Name:JALUN
Middle Name:HEZEKIAH
Last Name:TRENT
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 1:2229 DICKENS TER
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4444
Mailing Address - Country:US
Mailing Address - Phone:610-840-3629
Mailing Address - Fax:
Practice Address - Street 1:2229 DICKENS TER
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4444
Practice Address - Country:US
Practice Address - Phone:610-840-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician