Individual
MILLER GOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
883 SEVEN OAKS BLVD STE 850, SMYRNA, TN 37167-6691
(629) 216-2007
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(629) 216-2007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1199
TN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/18/2020
Last updated
11/07/2023
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