Individual
MIRIAM NEWMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, BCBA, LBA
Contact information
Practice address
7 CHURCH LN STE 26, BALTIMORE, MD 21208-3710
(410) 424-7000
Mailing address
7 CHURCH LN STE 26, BALTIMORE, MD 21208-3710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16058
NJ
103K00000X
Behavior Analyst
LBA247
MD
Other
Enumeration date
09/20/2016
Last updated
09/06/2024
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