NPI 1023839198

Miranda Law, MEDLBS

Practitioner Behavior Analyst Philadelphia, PA

Practice location

Address: 9601 Bustleton Ave STE a, Philadelphia, PA 19115-3810
Phone: (856) 346-0005
Mailing address: 2050 Voorhees Town Ctr, Voorhees, NJ 08043-1910

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence BH007354 (PA)

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Registry record

NPI: 1023839198
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2024
Record last updated: 22 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.