Provider Demographics
NPI:1346752235
Name:SCHIFF, CHANA BRURIA (MA BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CHANA
Middle Name:BRURIA
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 N CREST PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2976
Mailing Address - Country:US
Mailing Address - Phone:732-600-9258
Mailing Address - Fax:
Practice Address - Street 1:29 N CREST PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2976
Practice Address - Country:US
Practice Address - Phone:732-600-9258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ11727386103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst