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: |