Individual
MIRANDA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
(954) 982-6491
Mailing address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
Other
Enumeration date
02/23/2022
Last updated
01/13/2025
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