Individual
MRS. MIRIAM TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1327 46TH ST APT 3D, BROOKLYN, NY 11219-2163
(917) 586-5999
Mailing address
1327 46TH ST APT 3D, BROOKLYN, NY 11219-2163
(917) 586-5999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003395
NY
Other
Enumeration date
12/13/2019
Last updated
09/11/2024
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