Individual
CARSON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1964 GALLOWS RD STE 280, VIENNA, VA 22182-3877
(571) 533-3456
Mailing address
1964 GALLOWS RD STE 280, VIENNA, VA 22182-3877
(571) 533-3456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-328182
VA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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