Individual
MIRANDA JANE CHICK-LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15000 COMMERCE PKWY STE C, MOUNT LAUREL, NJ 08054-2212
(855) 647-5888
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
(561) 323-6593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67837
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396169579
—
NJ
Enumeration date
05/18/2015
Last updated
11/29/2024
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