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General NPI Number Information
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NPI Number | 1902742729
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Entity Type | Individual
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Provider Name | CHANA SHIRA LASKIN BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 945 RIVER AVE STE 202
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5675
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Country | US
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Telephone | 732-719-4752
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Fax |
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Provider Business Mailing Address
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Address Line | 405 14TH ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1742
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Country | US
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Telephone | 848-223-4319
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Fax | 848-223-4319
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NJ
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