MEDICARE: BRACHA H KATZ

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		NJ

General Provider Information

NPI Number	:	1952266967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRACHA H KATZ

Provider Business Mailing Address
First Line	:	1600 SALEM ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5437
Country	:	US
Telephone Number	:	732-503-3591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 SALEM ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5437
Country	:	US
Telephone Number	:	732-503-3591
Fax Number	:

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

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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Directions to “ BRACHA H KATZ ” Practice Location

Language	Start Address	Practice Location

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