Individual
MADELINE R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
2308 MOUNT VERNON AVE # 345, ALEXANDRIA, VA 22301-1328
(888) 344-5977
Mailing address
2308 MOUNT VERNON AVE # 345, ALEXANDRIA, VA 22301-1328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003978
VA
103K00000X
Behavior Analyst
LBA2056
MD
106S00000X
Behavior Technician
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Other
Enumeration date
03/04/2022
Last updated
01/24/2025
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