Provider Demographics
NPI:1932535580
Name:REICHENBERG, DEVORAH (MS BCBA)
Entity Type:Individual
Prefix:
First Name:DEVORAH
Middle Name:
Last Name:REICHENBERG
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:DEVORAH
Other - Middle Name:
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 TENNYSON PL
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4514
Mailing Address - Country:US
Mailing Address - Phone:347-631-2579
Mailing Address - Fax:
Practice Address - Street 1:36 TENNYSON PL
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4514
Practice Address - Country:US
Practice Address - Phone:347-631-2579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-15
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst