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NPI Code Detail

MEDICARE: TZIPPI WERZBERGER BCBA

MEDICARE: TZIPPI WERZBERGER BCBA
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
1101Y00000XCounselor
2174400000XSpecialist
3103K00000XBehavior Analyst1-20-41137NJ

General Provider Information

NPI Number : 1609464577
Entity Type Code : Individual
Provider Name (Legal Business Name) : TZIPPI WERZBERGER BCBA
Provider Business Mailing Address
First Line : 10 MAJESTIC WAY
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5018
Country : US
Telephone Number : 732-998-5606
Fax Number :
Provider Business Practice Location Address
First Line : 80 HILLSIDE BLVD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-3798
Country : US
Telephone Number : 732-534-7325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2021
Last Update Date : 11/03/2021

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