Provider Demographics
NPI:1578229209
Name:GOLDOFF, SARAH JENNY (MSED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JENNY
Last Name:GOLDOFF
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 RECTOR PL APT 19G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1193
Mailing Address - Country:US
Mailing Address - Phone:917-697-6029
Mailing Address - Fax:
Practice Address - Street 1:225 RECTOR PL APT 19G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1193
Practice Address - Country:US
Practice Address - Phone:917-697-6029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst