MEDICARE: MAHEVAH FILDOR 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1962158782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHEVAH FILDOR BCBA

Provider Business Mailing Address
First Line	:	1075 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-900-2610
Fax Number	:

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

Provider Enumeration Date	:	03/02/2022
Last Update Date	:	02/09/2026

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