Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miriam Fordsham

Individual provider Behavior Analyst · NPI 1629942081

Miriam Fordsham is a Behavior Analyst in Lakewood, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

873 Vine Ave
Lakewood, NJ 08701-5351
Phone: (732) 987-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1629942081
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address58 Birch St, Lakewood, NJ 08701-4701

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