(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554924
Provider Name: MIRANDA WARREN
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 05/20/2022
Last Updated: 07/14/2022
Provider Practice Location
1970 W 7800 S
WEST JORDAN
UT
840884025
Practice Location Phone/Fax
Phone: 8012684887
Fax:
Provider Mailing Location
249 E TABERNACLE ST
SAINT GEORGE
UT
847702978
Provider Mailing Phone/Fax
Phone:
Fax: