Individual
URI GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 E 9TH ST, LAKEWOOD, NJ 08701-2029
(917) 373-6547
Mailing address
168 E 9TH ST, LAKEWOOD, NJ 08701-2029
(917) 373-6547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
468465101
NY
Other
Enumeration date
07/10/2012
Last updated
07/31/2023
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