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Individual

MIRIAM FOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1449 37TH ST FL 3, BROOKLYN, NY 11218-4380
(718) 215-5311
Mailing address
1726 OCEAN AVE, BROOKLYN, NY 11230-5401
(732) 664-6566
(718) 951-0025

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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