Individual
SARAH KORNBLUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
705 N LAKE DR, LAKEWOOD, NJ 08701-2571
(917) 583-5107
Mailing address
705 N LAKE DR, LAKEWOOD, NJ 08701-2571
(917) 583-5107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB259552
NH
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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