Individual
MRS. BASHA MIRIAM BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 SEA POINT DR, LAKEWOOD, NJ 08701-4342
(732) 429-4178
Mailing address
53 SEA POINT DR, LAKEWOOD, NJ 08701-4342
(732) 429-4178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
06/16/2020
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