Individual
ADIS MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 NW 17TH ST, MIAMI, FL 33125-1124
(786) 537-5708
Mailing address
2730 NW 17TH ST, MIAMI, FL 33125-1124
(786) 537-5708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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