Individual
BROCHA RABINOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 MELVILLE AVE, LAKEWOOD, NJ 08701-4216
(845) 608-0023
Mailing address
85 MELVILLE AVE, LAKEWOOD, NJ 08701-4216
(845) 608-0023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11940216
NJ
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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