Illius, Miranda Renee
Illius, Miranda Renee is an individual health care provider with primary practice located at 38530 Chester Rd Ste 100 , Avon OH 44011-4048. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Illius, Miranda Renee can be contacted via phone (216) 282-1234.Contact Information
Primary practice address
38530 Chester Rd Ste 100
Avon OH 44011-4048
Phone: (216) 282-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-18-30479 | Ohio |
Profile Details
| NPI number | 1760977342 |
|---|---|
| LBN Legal business name | Illius, Miranda Renee |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2018 |
| Last updated | Nov 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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