MS. Miranda Laree Boam

NPI #1689238214 in Lahaina, Hawaii

Provider Information

NPI Number: 1689238214
Entity Type: Individual
Name: MS. Miranda Laree Boam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 29, 2019
Last Updated: Apr 29, 2019

Practice Location

Address: 553 WAINEE ST
City: Lahaina
State: Hawaii
ZIP Code: 96761-1109
Phone: (360) 977-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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