Healthcare Provider Details

I. General information

NPI: 1962317057
Provider Name (Legal Business Name): EMILY SANKOWSKI BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BENSON ST
TINTON FALLS NJ
07724-9772
US

IV. Provider business mailing address

22 VERMONT AVE
PORT MONMOUTH NJ
07758-1247
US

V. Phone/Fax

Practice location:
  • Phone: 848-888-3204
  • Fax:
Mailing address:
  • Phone: 732-570-7105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81860
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: