Keith, Mia

Keith, Mia is an sole proprietor health care provider with primary practice located at 11255 President Dr Ne , Blaine MN 55434. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Keith, Mia can be contacted via phone (651) 703-5384.

Contact Information

Primary practice address
11255 President Dr Ne Blaine MN 55434
Phone: (651) 703-5384
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1871279794
LBN Legal business name Keith, Mia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2023
Last updated Jun 26th, 2023 - about last year

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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