Individual
TZIPORA ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1029 HEARTHSTONE DR, LAKEWOOD, NJ 08701-5530
(347) 886-9421
Mailing address
1029 HEARTHSTONE DR, LAKEWOOD, NJ 08701-5530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16018
NJ
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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