Individual
LISA BERENHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 EASTERN PKWY, BROOKLYN, NY 11213-3311
(248) 534-8994
Mailing address
210 W 89TH ST, APT. 1A, NEW YORK, NY 10024-1805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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