Individual
ELIANA MIRIAM GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 AVENUE OF THE STATES, LAKEWOOD, NJ 08701-4591
(800) 604-2273
Mailing address
34 KLETSK HILL RD, LAKEWOOD, NJ 08701-2971
(773) 592-2328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12155253
NJ
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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