Individual
MIRANDA LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., LBS
Contact information
Practice address
9601 BUSTLETON AVE STE A, PHILADELPHIA, PA 19115-3810
(856) 346-0005
Mailing address
2050 VOORHEES TOWN CTR, VOORHEES, NJ 08043-1910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007354
PA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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