Individual provider · Type 1 NPI
Madison Anne Miranda
Developmental Therapist · Meridian, ID
Practice location
2940 W Cobalt Dr Unit B113
Meridian, ID 83642-5813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1154148773
Madison Anne Miranda's National Provider Identifier is 1154148773, issued on Sep 24, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Meridian, ID. The record was last updated on Feb 24, 2025.