Most Relevant Information
Provider Data
| NPI Number: | 1003513961 |
| Provider Name: | MIA COLEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2023 |
| Last Updated: | 02/10/2023 |
Provider Practice Location
7277 HAWKINS VIEW DR
FORT WORTH
TX
761323921
Practice Location Phone/Fax
| Phone: | 6822919911 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |