Individual
MIRACLE E NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18401 TIMBERS FOREST DRIVE, HUMBLE, TX 77346
(210) 447-0039
Mailing address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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