Individual
MRS. STEPHANIE JEAN BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1 FOREST CT, MORRIS PLAINS, NJ 07950-2514
(973) 722-9693
Mailing address
16 JOSEPH DR, WANTAGE, NJ 07461-2730
(973) 970-5455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39670
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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