Miranda Lee Squires
Behavior Technician in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1396332003
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1396332003
- Entity type
- Individual (NPI-1)
- Name
- Miranda Lee Squires
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2020
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CO | Yes |
Practice location
7730 N Union BlvdColorado Springs, CO 80920-4084
Phone 719-344-8756
Mailing address
6775 Blue River WayColorado Springs, CO 80911-9679
Phone 775-340-7580
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All 5,675 Behavior Technician providers in Colorado Springs · All 25,904 providers in Colorado Springs
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