Individual
SHAINDY SONENBLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
520 STIRLING AVE, LAKEWOOD, NJ 08701-3632
(917) 670-5834
Mailing address
520 STIRLING AVE, LAKEWOOD, NJ 08701-3632
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37256
NJ
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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