Individual
MIRANDA P BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2011
(502) 548-1691
Mailing address
215 PAYNE RD, EKRON, KY 40117-8571
(502) 548-1691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/12/2021
Last updated
11/19/2025
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