Petty, Miranda
Petty, Miranda is an sole proprietor health care provider with primary practice located at 1215 Independence Blvd Bldg 6 , Zachary LA 70791-7390. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Petty, Miranda can be contacted via phone (225) 286-1547.Contact Information
Primary practice address
1215 Independence Blvd Bldg 6
Zachary LA 70791-7390
Phone: (225) 286-1547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Louisiana |
Profile Details
| NPI number | 1659024644 |
|---|---|
| LBN Legal business name | Petty, Miranda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2022 |
| Last updated | Jan 31st, 2022 - about 3 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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