Sturdivant, Miranda

Sturdivant, Miranda is an individual health care provider with primary practice located at 7 Hidden Chase Apt E , Stone Mountain GA 30088-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Sturdivant, Miranda can be contacted via phone (334) 435-1309.

Contact Information

Primary practice address
7 Hidden Chase Apt E Stone Mountain GA 30088-4264
Phone: (334) 435-1309
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1437773975
LBN Legal business name Sturdivant, Miranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2020
Last updated Jun 1st, 2020 - about 6 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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