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Individual

ANTON SHCHERBAKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D, BCBA

Contact information

Practice address
199 6TH AVE STE A4, MOUNT LAUREL, NJ 08054-9749
(609) 436-0193
Mailing address
PO BOX 12, LUMBERTON, NJ 08048-0012
(609) 436-0193

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-16071
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00592000
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00592000
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00592000
NJ

Other

Enumeration date
03/11/2015
Last updated
12/22/2025
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