Individual
SARAH GOMOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
945 RIVER AVE, LAKEWOOD, NJ 08701-5659
(732) 833-3723
Mailing address
936 MADISON AVE, LAKEWOOD, NJ 08701-2626
(561) 531-1192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67977
NJ
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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