Individual
AKIVA FAKHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 PRINCETON AVE APT 103, LAKEWOOD, NJ 08701-3690
(732) 367-0737
Mailing address
675 PRINCETON AVE APT 103, LAKEWOOD, NJ 08701-3690
(732) 367-0737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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