Individual
ADDISON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 597-0822
Mailing address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 540-2108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/21/2019
Last updated
06/28/2023
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