Individual
MIRIAM BERKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 14TH ST, LAKEWOOD, NJ 08701-1602
(732) 232-9723
Mailing address
1235 14TH ST, LAKEWOOD, NJ 08701-1602
(732) 232-9723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB793901
NJ
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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