Individual
MRS. MIRIAM TRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2 ESTHER COURT, LAKEWOOD, NJ 08701-1463
(732) 523-1245
Mailing address
2 ESTHER COURT, LAKEWOOD, NJ 08701-1463
(732) 523-1245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12667
NJ
Other
Enumeration date
12/05/2012
Last updated
12/04/2014
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