Individual
MIRANDA WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 WOODCLIFF AVE SE, GRAND RAPIDS, MI 49506-5128
(616) 450-2510
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001255
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/11/2017
Last updated
10/19/2022
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