Individual
MIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
RBT
Contact information
Practice address
5572 BLOOMINGROVE RD, COGAN STATION, PA 17728-9103
(570) 447-3465
Mailing address
5572 BLOOMINGROVE RD, COGAN STATION, PA 17728-9103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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