Individual
CHAVA RACHEL WACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED BCBA
Contact information
Practice address
323 PARK AVE S, LAKEWOOD, NJ 08701-7600
(845) 499-9036
Mailing address
323 PARK AVE S, LAKEWOOD, NJ 08701-7600
(732) 363-8749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29725
NJ
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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