Shepard, Mironda

Shepard, Mironda is an individual health care provider with primary practice located at 2475 Windbreak Dr , Alexandria VA 22306-2662. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Shepard, Mironda can be contacted via phone (301) 704-6990.

Contact Information

Primary practice address
2475 Windbreak Dr Alexandria VA 22306-2662
Phone: (301) 704-6990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1235761487
LBN Legal business name Shepard, Mironda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 6 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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