Individual
MALKA GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 3RD ST, LAKEWOOD, NJ 08701-2547
(718) 986-1590
Mailing address
409 3RD ST, LAKEWOOD, NJ 08701-2547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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