MYRACLE BRODY
Behavior Technician
Active
Individual
NPI: 1003599903
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1003599903 is the National Provider Identifier for MYRACLE BRODY, a Behavior Technician provider located in Dallas, GA. This NPI was enumerated on August 8, 2023.
MYRACLE BRODY practices at 296 MERCHANTS SQ, Dallas, GA 30132.
Quick Facts
- NPI
- 1003599903
- Type
- Individual
- Enumerated
- Aug 8, 2023
- Last Updated
- Aug 8, 2023
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