Provider Demographics
NPI:1427877448
Name:FLAM, RIVKA NECHA (BCBA)
Entity type:Individual
Prefix:
First Name:RIVKA
Middle Name:NECHA
Last Name:FLAM
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MILTON ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1593
Mailing Address - Country:US
Mailing Address - Phone:732-278-9819
Mailing Address - Fax:
Practice Address - Street 1:95 MILTON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1593
Practice Address - Country:US
Practice Address - Phone:732-278-9819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NJ15BC00000900103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst