Individual
MIRIAM POLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9 CITY VIEW RD, BROOKLINE, MA 02446-2202
(845) 445-9096
Mailing address
9 CITY VIEW RD, BROOKLINE, MA 02446-2202
(845) 445-9096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB664072
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-61999
BOARD CERTIFIED BEHAVIOR ANALYST
—
Enumeration date
11/10/2022
Last updated
11/10/2022
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