Provider Demographics
NPI:1245746221
Name:REINER, HENDEE (BA MA BCBA)
Entity type:Individual
Prefix:
First Name:HENDEE
Middle Name:
Last Name:REINER
Suffix:
Gender:F
Credentials:BA MA BCBA
Other - Prefix:
Other - First Name:HENDEE
Other - Middle Name:
Other - Last Name:UNGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1771 MADISON AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1267
Mailing Address - Country:US
Mailing Address - Phone:732-503-0379
Mailing Address - Fax:848-288-9217
Practice Address - Street 1:1771 MADISON AVE STE 6
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1267
Practice Address - Country:US
Practice Address - Phone:732-503-0379
Practice Address - Fax:848-288-9217
Is Sole Proprietor?:No
Enumeration Date:2017-12-28
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-17-29020103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst