Miranda Behanna

Individual provider Active NPI Developmental Therapist · Greencastle, PA

NPI 1174037352 · NPPES record last updated Nov 26, 2017

Key facts

NPI
1174037352
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
3887 Rolling Hills Dr
Greencastle, PA 17225-8393
Phone
(240) 520-4860
NPI assigned
Nov 26, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

3887 Rolling Hills Dr
Greencastle, PA 17225-8393

Mailing address

3887 Rolling Hills Dr
Greencastle, PA 17225-8393
Phone (240) 520-4860

Other providers in Greencastle, PA

All providers in Greencastle, PA · Developmental Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.