Healthcare Provider Details

I. General information

NPI: 1801392865
Provider Name (Legal Business Name): SHIFRA LEVI BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHIFRA LEVI BCBA,LBA

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 KIWI LOOP
HOWELL NJ
07731-2268
US

IV. Provider business mailing address

38 KIWI LOOP
HOWELL NJ
07731-2268
US

V. Phone/Fax

Practice location:
  • Phone: 917-272-3759
  • Fax:
Mailing address:
  • Phone: 917-272-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11829277
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: