Individual
MRS. MIRIAM YANKELEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED. BCBA
Contact information
Practice address
6 CHARDONNAY CT, LAKEWOOD, NJ 08701-4656
(908) 783-2855
Mailing address
6 CHARDONNAY CT, LAKEWOOD, NJ 08701-4656
(908) 783-2855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19546
CO
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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