Individual
MIRIAM ELCHONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1776 AVE OF THE STATES STE 101A, LAKEWOOD, NJ 08701-4592
(732) 838-9039
Mailing address
25911 STRATFORD PL, OAK PARK, MI 48237-1027
(947) 948-6513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
04/03/2025
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