Organization
SHINING HEARTS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM MERMELSTEIN (CEO)
(845) 376-2226
Entity
Organization
Contact information
Practice address
2425 WALL ST SE, CONYERS, GA 30013-6342
(845) 376-2226
Mailing address
36 AIRPORT RD, LAKEWOOD, NJ 08701-7034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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