Individual
MIRANDA ELLIS WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 E ATLANTIC ST, SOUTH HILL, VA 23970-2003
(434) 253-5873
Mailing address
2506 ELAM RD, WHITE PLAINS, VA 23893-2061
(434) 253-5873
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000688
VA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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