Individual
MIROSLAVA PINZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 ASTER CT, MYRTLE BEACH, SC 29579-1787
(843) 516-5612
Mailing address
815 ASTER CT, MYRTLE BEACH, SC 29579-1787
(843) 516-5612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56173
SC
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/15/2018
Last updated
10/26/2023
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