Pratt, Miranda

Pratt, Miranda is an individual health care provider with primary practice located at 56 W Main St , Plainville CT 06062. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Pratt, Miranda can be contacted via phone (860) 351-5407.

Contact Information

Primary practice address
56 W Main St Plainville CT 06062
Phone: (860) 351-5407
Fax: (860) 351-5774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA.000868 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1689027260
LBN Legal business name Pratt, Miranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Oct 7th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689027260 NPPES
Massachusetts MEDICAID 110026265E

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