Individual
MIRA JAN RODRIGUEZ-BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 E RIVERSIDE DR, IONIA, MI 48846-8604
(269) 804-5797
Mailing address
1255 E RIVERSIDE DR, IONIA, MI 48846-8604
(269) 804-5797
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MI
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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