Individual
MRS. MIRIAM BICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MST ED BCBA
Contact information
Practice address
4 FLORIDA PL, JACKSON, NJ 08527-1816
(973) 955-3806
Mailing address
5 WESTWOOD AVE, LAKEWOOD, NJ 08701-3465
(732) 987-4007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
NY
Other
Enumeration date
07/11/2016
Last updated
10/24/2020
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