MEDICARE: VICTORIA TENENBAUM SLEEP AND BEHAVIOR COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1255219846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIA TENENBAUM SLEEP AND BEHAVIOR COUNSELING LLC

Provider Business Mailing Address
First Line	:	170 WILLIAMS DR
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-2924
Country	:	US
Telephone Number	:	408-410-1774
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 WILLIAMS DR
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-2924
Country	:	US
Telephone Number	:	408-410-1774
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VICTORIA TENENBAUM
Credential	:	BCBA
Telephone Number	:	408-410-1774

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	04/15/2026

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