Individual
MRS. MIRIAM ANN ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M SED
Contact information
Practice address
137 DEER FIELD LN N, SMYRNA, NY 13464
(607) 627-6358
Mailing address
PO BOX 71, SMYRNA, NY 13464-0071
(607) 627-6358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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