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Contact Information

MIRANDA PRATT
56 W MAIN ST
PLAINVILLE, CT06062
 Phone: 860-351-5407
 Fax: 860-351-5774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MIRANDA PRATT · (Female)

NPI Number 1689027260
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2016
Last updated 10/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # BA.000868
  • MA Medicaid 110026265E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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