Individual
TARA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 ROUTE 130 N STE J, CINNAMINSON, NJ 08077-3032
(856) 381-4622
(856) 389-5475
Mailing address
1104 ROUTE 130 N STE J, CINNAMINSON, NJ 08077-3032
(856) 381-4622
(856) 389-5475
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35664
—
Other
Enumeration date
01/24/2018
Last updated
05/31/2024
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