Individual
CHEDVA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 CLIFTON AVENUE, SUITE 202, CLIFTON, NJ 07013
(845) 499-8615
Mailing address
119 DOWNING STREET, LAKEWOOD, NJ 08701
(845) 499-8615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40528
NJ
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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