Individual
SIMA KANAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PROSPECT ST, LAKEWOOD, NJ 08701-4611
(732) 367-0099
Mailing address
20 AROSA HL, LAKEWOOD, NJ 08701-2134
(848) 240-7743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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