Individual
MISTY A SAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E BROADWAY AVE, JACKSON, WY 83001-8636
(720) 448-6227
Mailing address
PO BOX 11231, JACKSON, WY 83002-1231
(720) 448-6227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-61972
WY
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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