Individual
SHANIYA MCMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1997173
IN
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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