Mia Ingram

NPI #1386375442 in Rogers, Arkansas

Provider Information

NPI Number
1386375442
Entity Type
Individual
Name
Mia Ingram
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jun 20, 2022
Last Updated
Jun 20, 2022

Practice Location

Address
1704 W INDUSTRIAL DR STE C
City
Rogers
ZIP Code
72756-2497
Phone
(479) 214-9793

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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