Miranda Bethany Earley

NPI #1366044646 in Richmond Hill, Georgia

Provider Information

NPI Number: 1366044646
Entity Type: Individual
Name: Miranda Bethany Earley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 12, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 2451B US HIGHWAY 17
City: Richmond Hill
State: Georgia
ZIP Code: 31324-3397
Phone: (912) 312-7409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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