Most Relevant Information
Provider Data
| NPI Number: | 1003589599 |
| Provider Name: | MIA KILE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2021 |
| Last Updated: | 07/29/2021 |
Provider Practice Location
5762 BOLSA AVE STE 100
HUNTINGTON BEACH
CA
926491172
Practice Location Phone/Fax
| Phone: | 6572440004 |
| Fax: |
Provider Mailing Location
5762 BOLSA AVE STE 100
HUNTINGTON BEACH
CA
926491172
Provider Mailing Phone/Fax
| Phone: | 6572440004 |
| Fax: |