Individual
RAPHAEL EISEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
945 RIVER AVE STE 201, LAKEWOOD, NJ 08701-5675
(732) 833-3723
Mailing address
50 TOVA DR, LAKEWOOD, NJ 08701-5650
(443) 310-7609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56901
NJ
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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