Provider Demographics
NPI:1538042148
Name:MOSKOWITZ, HANNA (BCBA)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:MOSKOWITZ
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 1:655 N LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2570
Mailing Address - Country:US
Mailing Address - Phone:732-573-5944
Mailing Address - Fax:
Practice Address - Street 1:845 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3038
Practice Address - Country:US
Practice Address - Phone:732-901-0018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-25-82846103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst