MIRACLE DANYELLE ALVIN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1407530165- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 105 GRAND CENTRAL BLVD STE 101, POOLER, GA, 313224146
- Phone
- (912) 244-3305
Specialties & Taxonomies
Behavior Technician
Primary License: GA #106S00000X