Individual
MIRIAM GODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL ED
Contact information
Practice address
1166 RIVER AVE, LAKEWOOD, NJ 08701-5677
(856) 827-7630
Mailing address
1 ALLISON DR, CHERRY HILL, NJ 08003-2309
(856) 827-7630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71016
NJ
174400000X
Specialist
—
—
Other
Enumeration date
08/02/2016
Last updated
03/25/2024
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