Provider Demographics
NPI:1629611199
Name:GREENFELD, ESTHER (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:GREENFELD
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:FLAUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 KENYON DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4754
Mailing Address - Country:US
Mailing Address - Phone:347-309-2171
Mailing Address - Fax:
Practice Address - Street 1:1776 AVENUE OF THE STATES
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4591
Practice Address - Country:US
Practice Address - Phone:732-730-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-19-38022103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst