Individual
SHOSHANA R LEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED BCBA
Contact information
Practice address
102 E 7TH ST, LAKEWOOD, NJ 08701-2001
(848) 222-0970
Mailing address
102 E 7TH ST, LAKEWOOD, NJ 08701-2001
(848) 222-0970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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