Provider Demographics
NPI:1952940082
Name:SCHNELL, LEAH AVIGAIL
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:AVIGAIL
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:AVIGAIL
Other - Last Name:HERZKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 CEDAR ROW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1510
Mailing Address - Country:US
Mailing Address - Phone:732-730-7081
Mailing Address - Fax:
Practice Address - Street 1:3 ASHER DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2786
Practice Address - Country:US
Practice Address - Phone:845-367-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst