Miranda Ely, LBA

NPI #1538607221 in Bristol, Virginia

Provider Information

NPI Number
1538607221
Entity Type
Individual
Name
Miranda Ely, LBA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assistant Behavior Analyst
Credential
LBA
Enumeration Date
Feb 2, 2017
Last Updated
Feb 2, 2017

Practice Location

Address
191 BRISTOL EAST RD
Address 2
STE 103
ZIP Code
24202-5512
Phone
(276) 258-3916

Specialties & Taxonomy Codes

Specialty
Assistant Behavior Analyst

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