Sorah Chaya Koppenheim, MS

NPI #1417470493 in Lakewood, New Jersey

Provider Information

NPI Number: 1417470493
Entity Type: Individual
Name: Sorah Chaya Koppenheim, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: MS
Enumeration Date: Jul 20, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 116 E 9TH ST
City: Lakewood
State: New Jersey
ZIP Code: 08701-2029
Phone: (732) 674-9535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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