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NPI Code Detail

MEDICARE: ESTHER SPIRA MSED BCBA

MEDICARE: ESTHER SPIRA MSED BCBA
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
1103K00000XBehavior Analyst11833329NJ

General Provider Information

NPI Number : 1205396314
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER SPIRA MSED BCBA
Provider Business Mailing Address
First Line : 52 NEWBURY RD
Second Line :
City : HOWELL
State : NJ
Zip : 07731-2164
Country : US
Telephone Number : 848-210-4308
Fax Number :
Provider Business Practice Location Address
First Line : 1166 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5677
Country : US
Telephone Number : 732-965-6444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2019
Last Update Date : 01/21/2026

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