Individual provider · Type 1 NPI

Kaitlyn Alaze Squires-Black, BCBA

Behavior Analyst · Tinton Falls, NJ

NPI number 1104722289 Active

Practice location

7 Benson St
Tinton Falls, NJ 07724-9772

Call (848) 888-3204 Map

Mailing address

14 Foxfire Ln
Clinton, NJ 08809-2012

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1104722289

Kaitlyn Alaze Squires-Black, BCBA's National Provider Identifier is 1104722289, issued on Oct 16, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Tinton Falls, NJ. The record was last updated on Oct 16, 2026.