Individual
AVERY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4645 VILLAGE SQUARE DR STE A, PADUCAH, KY 42001-7448
(270) 391-2396
Mailing address
521 STONECREST PKWY STE 101, SMYRNA, TN 37167-6897
(615) 549-6608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
RBT-25-470927
KY
Other
Enumeration date
09/09/2025
Last updated
06/10/2026
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