Individual
CHRISTIAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3602 INLAND EMPIRE BLVD STE B208, ONTARIO, CA 91764-4912
(909) 476-6464
(909) 476-6868
Mailing address
3602 INLAND EMPIRE BLVD STE B208, ONTARIO, CA 91764-4912
(909) 476-6464
(909) 476-6868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22737
CA
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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