Individual
MISS ALISSA LEAH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS
Contact information
Practice address
2117 METRO CIR SW STE A, HUNTSVILLE, AL 35801-5343
(256) 701-3134
Mailing address
27551 TIM WAGNON LN, ATHENS, AL 35613-8650
(256) 777-1934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1076055
AL
Other
Enumeration date
07/09/2024
Last updated
05/12/2025
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