Individual
MR. TEDDY BAHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
945 RIVER AVE, LAKEWOOD, NJ 08701-5659
(732) 337-5967
Mailing address
294 METEDECONK TRL, JACKSON, NJ 08527-2028
(732) 337-5967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64641
NJ
Other
Enumeration date
03/16/2023
Last updated
12/06/2023
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