Individual
SOFIA KONVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
743 PASSAIC AVE, SUITE 109, CLIFTON, NJ 07012
(908) 461-7866
Mailing address
743 PASSAIC AVE, APT 109, CLIFTON, NJ 07012-1826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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