MISS Mira Vk Patel

NPI #1215431630 in Boulder, Colorado

Provider Information

NPI Number: 1215431630
Entity Type: Individual
Name: MISS Mira Vk Patel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 20, 2018
Last Updated: Mar 20, 2018

Practice Location

Address: 4730 TABLE MESA DR STE H-200
City: Boulder
State: Colorado
ZIP Code: 80305-5560
Phone: (720) 408-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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