Most Relevant Information
Provider Data
| NPI Number: | 1003650649 |
| Provider Name: | MIRANDA LYNNE FRAME |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2024 |
| Last Updated: | 06/19/2024 |
Provider Practice Location
14387 EDGEWOOD DR
BAXTER
MN
564258460
Practice Location Phone/Fax
| Phone: | 2184545181 |
| Fax: |
Provider Mailing Location
14387 EDGEWOOD DR
BAXTER
MN
564258460
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |