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Individual
NEIL DAVID MIRANDA
Active
Individual
NEIL DAVID MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23149
CA
103K00000X
Behavior Analyst
2132
NC
Other
Enumeration date
08/21/2019
Last updated
10/14/2024
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