MISS Miranda Lace Presley

NPI #1811636103 in Mobile, Alabama

Provider Information

NPI Number: 1811636103
Entity Type: Individual
Name: MISS Miranda Lace Presley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2022
Last Updated: Jun 3, 2022

Practice Location

Address: 5550 OLD SHELL RD
City: Mobile
State: Alabama
ZIP Code: 36608-3039
Phone: (251) 287-2242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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