Individual
MIRANDA SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
709 IOWA ST, SIOUX CITY, IA 51105-1945
(712) 522-2961
Mailing address
709 IOWA ST, SIOUX CITY, IA 51105-1945
(712) 522-2961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25358
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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