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Individual

BAYLA JOSEFOVITZ/ LICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1449 37TH ST STE 100, BROOKLYN, NY 11218-4380
(718) 215-5311
Mailing address
216 HOWARD AVE, PASSAIC, NJ 07055-4512
(973) 859-0767

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/05/2019
Last updated
04/05/2019
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