Individual ProviderBatsheva MandelbaumBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address121 Boulevard, Passaic, NJ 07055-4707(973) 634-5952PECOS EnrollmentBased on the most recent information from CMS, provider Batsheva Mandelbaum 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 ID1609550268Provider TypeIndividualFull NameMandelbaum, BatshevaCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date6/14/2023Last Updated6/14/2023Contact InformationPractice LocationPractice Address121 Boulevard, Passaic, NJ 07055-4707Phone(973) 634-5952FaxUnlisted FaxMailing LocationMailing Address121 Boulevard, Passaic, NJ 07055-4707Phone(973) 634-5952FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-23-65915New Jersey