Provider Demographics
NPI:1184437766
Name:LICHTENSTEIN, SARA (MS BCBA, LBA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LICHTENSTEIN
Suffix:
Gender:F
Credentials:MS BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WOODWIND LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1614
Mailing Address - Country:US
Mailing Address - Phone:856-608-0636
Mailing Address - Fax:
Practice Address - Street 1:8 WOODWIND LN
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1614
Practice Address - Country:US
Practice Address - Phone:856-608-0636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBCBA749669103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst