Individual
HAILEY MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 S 19TH ST, MILWAUKEE, WI 53221-1504
(414) 748-6010
Mailing address
3650 S 19TH ST, MILWAUKEE, WI 53221-1504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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