Individual
STACEY PAGE-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
434 MARKET ST, SUITE 205, LEWISBURG, PA 17837-2403
(570) 522-0990
Mailing address
434 MARKET ST, SUITE 205, LEWISBURG, PA 17837-2403
(570) 522-0990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002488
PA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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