Individual
MRS. SHIFRA SHONEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
141 E 4TH ST, LAKEWOOD, NJ 08701-3402
(917) 272-3759
Mailing address
141 E 4TH ST, LAKEWOOD, NJ 08701-3402
(017) 272-3759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11829277
NJ
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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