Individual
AVIGAYIL BRONSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 BIRCH ST, LAKEWOOD, NJ 08701-4701
(347) 439-2515
Mailing address
31 S BELL AVE, LAKEWOOD, NJ 08701-5457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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