Individual
ALEXANDRA SUTHERLAND MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
220 CORPORATE BOULEVARD, NORFOLK, VA 23502-0012
(248) 912-6263
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55838
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114428968
—
VA
Enumeration date
02/27/2018
Last updated
04/23/2025
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