Individual
MIRIAM GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1525 PROSPECT ST STE 206, LAKEWOOD, NJ 08701-4662
(732) 961-7413
Mailing address
1974 PAMELA CT, TOMS RIVER, NJ 08755-1399
(646) 712-9409
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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