Organization
INTELLISTARS ABA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM GREENWALD BCBA (CHIEF OPERATING OFFICER)
(470) 704-5219
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(470) 704-5219
Mailing address
1980 SWARTHMORE AVE UNIT 1, LAKEWOOD, NJ 08701-4765
(470) 704-5219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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