Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Jayne Blatt

Individual provider Behavior Technician · NPI 1508598475

Miranda Jayne Blatt is a Behavior Technician in Columbia, Missouri. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2620 Forum Blvd Ste E
Columbia, MO 65203-5454
Phone: (573) 514-8735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1508598475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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