Individual
LYDIA M MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3400 S BOWMAN RD APT 1924, LITTLE ROCK, AR 72211-4645
(501) 766-8298
Mailing address
2312 DURWOOD RD, LITTLE ROCK, AR 72207-3431
(501) 313-5973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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