SORAH CHAYA KOPPENHEIM

LAKEWOOD, NJ
NPI1417470493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-07-20
Last Update Date2022-07-21
Business Address
SORAH CHAYA KOPPENHEIM MS
116 E 9TH ST
LAKEWOOD, NJ 08701-2029
Phone number: 732-674-9535
Mailing Address
SORAH CHAYA KOPPENHEIM MS
116 E 9TH ST
LAKEWOOD, NJ 08701-2029
Phone number: 732-674-9535