Provider Demographics
NPI:1114452208
Name:FUCHS, SHOSHANA M (MS ED BCBA)
Entity Type:Individual
Prefix:
First Name:SHOSHANA
Middle Name:M
Last Name:FUCHS
Suffix:
Gender:F
Credentials:MS ED BCBA
Other - Prefix:
Other - First Name:SHOSHANA
Other - Middle Name:M
Other - Last Name:TOMOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9 HARVEST CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1738
Mailing Address - Country:US
Mailing Address - Phone:848-210-4357
Mailing Address - Fax:
Practice Address - Street 1:9 HARVEST CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-1738
Practice Address - Country:US
Practice Address - Phone:848-210-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst