Provider Demographics
NPI:1538885066
Name:BURGHOFFER, BROOKE MARLEEN
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:MARLEEN
Last Name:BURGHOFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 CORBETT WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4260
Mailing Address - Country:US
Mailing Address - Phone:732-655-3288
Mailing Address - Fax:
Practice Address - Street 1:99 CORBETT WAY
Practice Address - Street 2:STE 102
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724
Practice Address - Country:US
Practice Address - Phone:732-430-9275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty