Individual
MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T., BCBA
Contact information
Practice address
517 WILLOW AVE, GARWOOD, NJ 07027-1227
(973) 919-7239
Mailing address
517 WILLOW AVE, GARWOOD, NJ 07027-1227
(973) 919-7239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415797
NJ
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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