Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA ELY, LBA
Active Sole ProprietorMIRANDA ELY, LBA is a Assistant Behavior Analyst healthcare provider located in BRISTOL, Virginia. NPI 1538607221 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · BRISTOL, VA
Registration Details
- NPI Number
- 1538607221
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2017 (9.5379553488866 yrs)
- Last Updated
- Feb 2, 2017
- License
-
0133000807 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
191 BRISTOL EAST RDSTE 103BRISTOL, VA, 242025512Browse VA providers · Browse ZIP 24202
- Phone
- 2762583916
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
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.