Provider Demographics
NPI:1760376487
Name:HOROWITZ, BORUCH NAFTOLI
Entity type:Individual
Prefix:MR
First Name:BORUCH
Middle Name:NAFTOLI
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5470
Mailing Address - Country:US
Mailing Address - Phone:917-941-5414
Mailing Address - Fax:
Practice Address - Street 1:38 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5470
Practice Address - Country:US
Practice Address - Phone:917-941-5414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst