Individual
CYNTHIA KAREN BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, BCBA
Contact information
Practice address
945 RIVER AVE, LAKEWOOD, NJ 08701-5659
(732) 833-3723
Mailing address
1108 LAWRENCE AVE, TOMS RIVER, NJ 08757-1546
(917) 977-0418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
46TR00957100
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
727216346
—
NJ
Enumeration date
11/06/2020
Last updated
05/08/2024
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