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1023641784
ANDREW MIRANDA
PASADENA, CA
NPI
1023641784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2020-02-20
Last Update Date
2021-05-28
Business Address
ANDREW MIRANDA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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Mailing Address
ANDREW MIRANDA
13428 MAXELLA AVE STE 913
MARINA DEL REY, CA 90292-5620
Phone number: 424-272-5238
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