Individual
BROCHA MIRIAM ITZKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WALKER AVE, BALTIMORE, MD 21208-4022
(410) 415-3515
Mailing address
2408 HUNT DR, BALTIMORE, MD 21209-1532
(443) 293-6837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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