Individual
CHANA FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
150 AIPORT RD, SUITE 1800, LAKEWOOD, NJ 08701
(732) 523-1245
Mailing address
150 AIRPORT RD, LAKEWOOD, NJ 08701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24840
MI
Other
Enumeration date
06/20/2017
Last updated
06/04/2025
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