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1902163785
BASHA GRUBER
LAKEWOOD, NJ
NPI
1902163785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-11-9269)
Enumeration Date
2012-04-18
Last Update Date
2012-05-24
Business Address
-- BASHA GRUBER
761 RIVER AVE SUITE D
LAKEWOOD, NJ 08701-5200
Phone number: 732-833-3723
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Mailing Address
-- BASHA GRUBER
761 RIVER AVE SUITE D
LAKEWOOD, NJ 08701-5200
Phone number: 732-833-3723
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