Healthcare Provider Details

I. General information

NPI: 1588239859
Provider Name (Legal Business Name): TZIVIA ADLER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 RIVER AVE
LAKEWOOD NJ
08701-5659
US

IV. Provider business mailing address

945 RIVER AVE
LAKEWOOD NJ
08701-5659
US

V. Phone/Fax

Practice location:
  • Phone: 732-833-3723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00103400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: