Provider Demographics
NPI:1801471289
Name:MONHEIT, DEVORA ZLATA (MA ED, BCBA)
Entity type:Individual
Prefix:
First Name:DEVORA
Middle Name:ZLATA
Last Name:MONHEIT
Suffix:
Gender:F
Credentials:MA ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3523
Mailing Address - Country:US
Mailing Address - Phone:718-644-8402
Mailing Address - Fax:
Practice Address - Street 1:355 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3523
Practice Address - Country:US
Practice Address - Phone:718-644-8402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst