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Individual

BRACHA WIESENFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBA

Contact information

Practice address
500 N FRANKLIN TPKE STE 311, RAMSEY, NJ 07446-1160
(317) 676-4700
Mailing address
6 BEAVER DAM RD, POMONA, NY 10970-3204
(347) 494-2170

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001534
NY
103K00000X
Behavior Analyst
174400000X
Specialist
NY

Other

Enumeration date
09/01/2016
Last updated
03/04/2024
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