Individual
MIRANDA MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
10842 MCGEE ST, KANSAS CITY, MO 64114-5018
(816) 708-0540
Mailing address
8718 N MCGEE ST, KANSAS CITY, MO 64155-2429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
05/06/2025
Last updated
09/30/2025
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