Individual
MIKAILA NOELLE VIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S 74TH PLZ STE 102, OMAHA, NE 68114-4667
(531) 365-0385
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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