Individual ProviderShoshana BodenheimBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address39 Crescent Ave, Passaic, NJ 07055-2407(718) 222-5999PECOS EnrollmentBased on the most recent information from CMS, provider Shoshana Bodenheim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1114742970Provider TypeIndividualFull NameBodenheim, ShoshanaGenderFemaleSole ProprietorYesEnumeration Date11/18/2024Last Updated11/18/2024Contact InformationPractice LocationPractice Address39 Crescent Ave, Passaic, NJ 07055-2407Phone(718) 222-5999FaxUnlisted FaxMailing LocationMailing Address39 Crescent Ave, Passaic, NJ 07055-2407PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer