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NPI Code Detail

MEDICARE: YEHUDIS GRUBNER

MEDICARE: YEHUDIS GRUBNER
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 Analyst1-26-88755NJ

General Provider Information

NPI Number : 1982544045
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEHUDIS GRUBNER
Provider Business Mailing Address
First Line : 1500 AVENUE OF THE STATES
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4789
Country : US
Telephone Number : 732-961-7413
Fax Number :
Provider Business Practice Location Address
First Line : 1500 AVENUE OF THE STATES
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4789
Country : US
Telephone Number : 732-961-7413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ YEHUDIS GRUBNER ” Practice Location

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