Individual
ADRIANNY CUSTODIO-MIOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1 BROOKSIDE AVE, NORTH PROVIDENCE, RI 02911-1510
(401) 548-0238
Mailing address
1 BROOKSIDE AVE, NORTH PROVIDENCE, RI 02911-1510
(401) 548-0238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00260
RI
Other
Enumeration date
06/30/2021
Last updated
02/26/2025
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