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Individual
MICHAELA ANN MILLER
Active
Individual
MICHAELA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92042612
HEALTH RECORD NUMBER
OR
Enumeration date
09/17/2019
Last updated
09/17/2019
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