Individual
MIRIAM ELIZABETH BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2250 CHAPEL AVE W STE 110, CHERRY HILL, NJ 08002-2051
(877) 222-0388
Mailing address
2250 CHAPEL AVE W STE 110, CHERRY HILL, NJ 08002-2051
(877) 222-0388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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