Individual
MARTYNE SHANNON SCHRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
135 MAIN ST, HACKENSACK, NJ 07601-7124
(201) 407-7934
Mailing address
135 MAIN ST, HACKENSACK, NJ 07601-7124
(201) 407-7934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4075
CO
Other
Enumeration date
12/10/2013
Last updated
06/10/2014
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