Jonathan Miranda Valid NPI
Individual provider · Behavior Technician · Springfield, MO
- NPI
- 1952164089
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-23-289980 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-02-01
- Last updated
- 2024-02-01
Practice location
3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
(417) 818-5784