Individual
NECHOMA MENDLOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1400 PINE ST, LAKEWOOD, NJ 08701-4963
(732) 534-4304
Mailing address
1400 PINE ST, LAKEWOOD, NJ 08701-4963
(732) 534-7325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11518708
NJ
Other
Enumeration date
09/10/2015
Last updated
08/02/2016
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