Provider Demographics
NPI:1356972335
Name:UZHANSKY, JANE S
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:S
Last Name:UZHANSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:S
Other - Last Name:IANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD, BCBA, LBA
Mailing Address - Street 1:591 DEROSE LN
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9235
Mailing Address - Country:US
Mailing Address - Phone:908-278-9971
Mailing Address - Fax:
Practice Address - Street 1:591 DEROSE LN
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-9235
Practice Address - Country:US
Practice Address - Phone:908-278-9971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15BC00005000103K00000X
NY1272125252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency