Provider Demographics
NPI:1356149389
Name:CARDOZA, SULEIKA M
Entity type:Individual
Prefix:
First Name:SULEIKA
Middle Name:M
Last Name:CARDOZA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 BRUCE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1852
Mailing Address - Country:US
Mailing Address - Phone:917-667-6490
Mailing Address - Fax:
Practice Address - Street 1:626 BRUCE ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-1852
Practice Address - Country:US
Practice Address - Phone:917-667-6490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJBACB1074078106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician