MEDICARE: MRS. ANN SALZBERG

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
1	103K00000X	Behavior Analyst
2	103K00000X	Behavior Analyst		NJ

General Provider Information

NPI Number	:	1104114891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN SALZBERG

Provider Business Mailing Address
First Line	:	4 MARSHALL RD
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4034
Country	:	US
Telephone Number	:	732-238-1906
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 MARSHALL RD
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4034
Country	:	US
Telephone Number	:	732-238-1906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2011
Last Update Date	:	07/14/2011

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Directions to “ MRS. ANN SALZBERG ” Practice Location

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