Individual
MIRIAM BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5213 19TH AVE, BROOKLYN, NY 11204-1602
(718) 222-5999
(718) 387-6429
Mailing address
1739 59TH ST, BROOKLYN, NY 11204-2254
(347) 434-9285
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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