Miranda Renee Illius, BCBA

NPI #1760977342 in Avon, Ohio

Provider Information

NPI Number: 1760977342
Entity Type: Individual
Name: Miranda Renee Illius, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jun 26, 2018
Last Updated: Nov 21, 2022

Practice Location

Address: 38530 CHESTER RD STE 100
City: Avon
State: Ohio
ZIP Code: 44011-4048
Phone: (216) 282-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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