Miranda Depoy

NPI #1205292729 in South Bend, Indiana

Provider Information

NPI Number: 1205292729
Entity Type: Individual
Name: Miranda Depoy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 13, 2016
Last Updated: Jan 13, 2016

Practice Location

Address: 2314 MIAMI ST
City: South Bend
State: Indiana
ZIP Code: 46614-1336
Phone: (574) 329-6856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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