Individual
ELISHEVA WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 CLIFTON AVE, CLIFTON, NJ 07013-3641
(617) 947-4783
Mailing address
1115 CLIFTON AVE # 1115, CLIFTON, NJ 07013-3641
(617) 947-4783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30050
NJ
103K00000X
Behavior Analyst
1-18-30050
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M0086742
CIGNA
NJ
Enumeration date
06/27/2018
Last updated
06/27/2018
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