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Individual
ALLISON HEIDI MILLER
Active
Individual
ALLISON HEIDI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BB004678
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38129
BACB
—
01
—
BH004678
STATE BOARD OF MEDICINE - BEHAVIOR SPECIALIST LICENSE
PA
Enumeration date
10/18/2019
Last updated
10/18/2019
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