Individual
MS. LUZ MARIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O., RBT
Contact information
Practice address
13715 SW 30TH ST, MIAMI, FL 33175
(786) 255-0527
Mailing address
13715 SW 30TH ST, MIAMI, FL 33175-6606
(786) 255-0527
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
156FX1800X
Optician
DO4903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021815200
—
FL
Enumeration date
07/13/2007
Last updated
10/05/2018
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