Individual
NIKKA JEAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 LYNX CT, PFLUGERVILLE, TX 78660-6571
(512) 317-3397
(512) 317-3397
Mailing address
PO BOX 6992, ROUND ROCK, TX 78683-6992
(512) 317-3397
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251C00000X
DAYHABILITATION
TX
Enumeration date
02/22/2018
Last updated
06/16/2018
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