Individual
MIRIAM WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
36 AIRPORT RD, LAKEWOOD, NJ 08701-7034
(732) 399-0001
Mailing address
334 LAUREL AVE, LAKEWOOD, NJ 08701
(347) 982-6280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72603
NY
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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