| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER MIR | 1346955325 | 2023-01-13 |
Jennifer Mir is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346955325. Registration indicates Jennifer Mir is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Jennifer Mir |
| Practice Office Address | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL US |
| Practice Office Telephone | 9869445513 |
| Mailing Address | 3955 PITTMAN DR JACKSONVILLE, FL 322077101 US |
| Business Telephone | 9044424683 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |