Individual
MRS. SVETLANA VIGDORCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1564 LEMOINE AVE, FORT LEE, NJ 07024-5635
(201) 849-5797
Mailing address
1512 PALISADE AVE APT 11L, FORT LEE, NJ 07024-5314
(201) 849-5797
(201) 254-8095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-9-5326
NJ
Other
Enumeration date
05/02/2018
Last updated
03/29/2023
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