Miranda Boedeker

NPI #1093284622 in North Olmsted, Ohio

Provider Information

NPI Number: 1093284622
Entity Type: Individual
Name: Miranda Boedeker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2018
Last Updated: Nov 13, 2018

Practice Location

Address: 5760 GREAT NORTHERN BLVD
Address 2: G2
City: North Olmsted
State: Ohio
ZIP Code: 44070-4407
Phone: (618) 565-7934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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