Misty Minner

NPI #1417727207 in Gillette, Wyoming

Provider Information

NPI Number: 1417727207
Entity Type: Individual
Name: Misty Minner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 120 ALPINE DR
City: Gillette
State: Wyoming
ZIP Code: 82718-8844
Phone: (877) 584-6227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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