Individual
MIRANDA GRIECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
64 DRAGONFLY DR, LOUDON, NH 03307-0936
(516) 971-4441
Mailing address
64 DRAGONFLY DR, LOUDON, NH 03307-0936
(516) 971-4441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3424
TX
Other
Enumeration date
04/11/2017
Last updated
10/05/2022
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