Individual
CHAVA ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
29 LANCASTER WAY, JACKSON, NJ 08527-1258
(973) 572-6944
Mailing address
233 LINCOLN ST, LAKEWOOD, NJ 08701-4811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75173
NJ
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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