Individual
MIRANDA FARABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
76 RYERSON ST, APT 1, BROOKLYN, NY 11205-2544
(410) 913-8626
Mailing address
76 RYERSON ST, APT 1, BROOKLYN, NY 11205-2544
(410) 913-8626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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