Individual
ALYSSIA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E STAN SCHLUETER LOOP, KILLEEN, TX 76542-5481
(254) 833-5311
Mailing address
1200 E STAN SCHLUETER LOOP, KILLEEN, TX 76542-5481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-251225
TX
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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