Individual
MIRA SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 N WATER ST FL 4, MILWAUKEE, WI 53202-2557
(847) 465-9556
Mailing address
991 OAK CREEK DR, LOMBARD, IL 60148-6408
(847) 465-9556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-359319
WI
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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