Individual
ETA BROCHA LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
801 LAMBERT AVE, LAKEWOOD, NJ 08701-5196
(732) 217-2621
Mailing address
1407 KNOLL RD, LAKEWOOD, NJ 08701-3064
(848) 326-8800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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