Broker, Mia

Broker, Mia is an individual health care provider with primary practice located at 9301 Oakdale Ave Suite 302, Chatsworth CA 91311-6515. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Broker, Mia can be contacted via phone (304) 867-4070.

Contact Information

Primary practice address
9301 Oakdale Ave Suite 302 Chatsworth CA 91311-6515
Phone: (304) 867-4070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-14482 California

Profile Details

NPI number 1851721682
LBN Legal business name Broker, Mia
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2013
Last updated Oct 29th, 2015 - about 9 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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