Individual
MIESHA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 WALNUT ST STE 100, LANSDALE, PA 19446-1144
(978) 488-0338
Mailing address
2303 W SOMERSET ST, PHILADELPHIA, PA 19132-2022
(445) 309-6188
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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