Individual
MIRANDA L CAVANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4101 ANGELUS ST, PARAGOULD, AR 72450
(870) 240-3957
Mailing address
4101 ANGELUS ST, PARAGOULD, AR 72450-2523
(870) 240-3957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
08-29-AE-PL
AR
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
10/31/2018
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