DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAIKA MIRTIL

Active

LAIKA MIRTIL is a Behavior Analyst healthcare provider located in PENDERGRASS, Georgia. NPI 1154094241 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · PENDERGRASS, GA

Registration Details

NPI Number
1154094241
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2021 (5.0646414727688 yrs)
Last Updated
Sep 18, 2023
Licenses
18-61416 (IN)
1-23-67979 (GA)

Practice Information

Address
540 GLENN GEE RD APT 6205
PENDERGRASS, GA, 305674728
Browse GA providers · Browse ZIP 30567
Phone
8128500289
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.