Mirnda Louise Miller
Behavior Technician in Crystal, MN. Individual provider (NPI-1).
NPI number1982308367
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1982308367
- Entity type
- Individual (NPI-1)
- Name
- Mirnda Louise Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4825 58th Ave NCrystal, MN 55429-2821
Phone 701-213-0726
Mailing address
4825 58th Ave NCrystal, MN 55429-2821
Phone 701-213-0726
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