Individual
MIRANDA WHITEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W HARGETT ST STE 301, RALEIGH, NC 27601-1351
(336) 613-3795
Mailing address
127 W HARGETT ST STE 301, RALEIGH, NC 27601-1351
(336) 613-3795
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-21982
IN
103K00000X
Behavior Analyst
167208
KY
103K00000X
Behavior Analyst
Primary
1865
NC
Other
Enumeration date
08/23/2016
Last updated
11/06/2025
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