Individual
BRIAN ELLIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
201 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2801
(804) 362-2900
Mailing address
201 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2801
(804) 362-2900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003179
VA
106S00000X
Behavior Technician
17-37644
—
Other
Enumeration date
04/25/2018
Last updated
09/13/2023
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