Individual
SHAINE BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
48 BIRCH STREET, LAKEWOOD, NJ 08701
(732) 886-7406
Mailing address
48 BIRCH STREET, LAKEWOOD, NJ 08701
(732) 886-7406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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