Provider Demographics
NPI:1285106419
Name:SCHIFF, FAIGIE BASHIE (BCBA)
Entity type:Individual
Prefix:
First Name:FAIGIE
Middle Name:BASHIE
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:FAIGIE
Other - Middle Name:BASHIE
Other - Last Name:SCHIFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:1157 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3069
Mailing Address - Country:US
Mailing Address - Phone:732-886-5286
Mailing Address - Fax:
Practice Address - Street 1:1157 ROBIN DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3069
Practice Address - Country:US
Practice Address - Phone:732-886-5286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-18-31519103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst