Individual
MARYAM M GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 MARVELAND CRESCENT ST, FLANDERS, NJ 07836-4433
(973) 979-6136
Mailing address
1305 MARVELAND CRESCENT ST, FLANDERS, NJ 07836-4433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
16714766472566632517
NJ
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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