Board, Miranda P

Board, Miranda P is an individual health care provider with primary practice located at 402 W Lincoln Trail Blvd , Radcliff KY 40160-2011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Board, Miranda P can be contacted via phone (502) 548-1691.

Contact Information

Primary practice address
402 W Lincoln Trail Blvd Radcliff KY 40160-2011
Phone: (502) 548-1691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1659033132
LBN Legal business name Board, Miranda P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2021
Last updated Dec 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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