Individual
RACHEL SOROTZKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
112 HADASSAH LN, LAKEWOOD, NJ 08701-5559
(732) 598-1316
Mailing address
112 HADASSAH LN, LAKEWOOD, NJ 08701-5559
(732) 598-1316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1041612
NJ
103K00000X
Behavior Analyst
Primary
1063195
NJ
174400000X
Specialist
46TR00021900
NJ
174400000X
Specialist
46TR00359300
NJ
235Z00000X
Speech-Language Pathologist
47Y500613400
NJ
Other
Enumeration date
12/27/2009
Last updated
02/09/2010
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