Korth, Miranda Belle
Korth, Miranda Belle is an individual health care provider with primary practice located at 1613 Prospect Parkway , Fort Collins CO 80525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Korth, Miranda Belle can be contacted via phone (970) 377-9401.Contact Information
Primary practice address
1613 Prospect Parkway
Fort Collins CO 80525
Phone: (970) 377-9401
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-37458 | Colorado |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1760990402 |
---|---|
LBN Legal business name | Korth, Miranda Belle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2018 |
Last updated | Oct 6th, 2019 - about 5 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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