Mira Louise Wollenberg

NPI #1447745823 in Piedmont, California

Provider Information

NPI Number: 1447745823
Entity Type: Individual
Name: Mira Louise Wollenberg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 27, 2018
Last Updated: Aug 1, 2025

Practice Location

Address: 6 HUNTLEIGH RD
City: Piedmont
State: California
ZIP Code: 94611-3320
Phone: (510) 285-7327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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