Mia Joy Speach

NPI #1124618012 in Mc Lean, Virginia

Provider Information

NPI Number: 1124618012
Entity Type: Individual
Name: Mia Joy Speach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2021
Last Updated: Feb 16, 2021

Practice Location

Address: 1651 OLD MEADOW RD STE 600
City: Mc Lean
State: Virginia
ZIP Code: 22102-4389
Phone: (703) 564-1639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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