Individual
LEAH KORNBLUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
40 CHESTNUT ST, LAKEWOOD, NJ 08701-5894
(732) 833-3723
Mailing address
121 COLONY CIR, LAKEWOOD, NJ 08701-1403
(917) 757-0022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19606
NJ
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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