Individual
REBEKAH MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2604 47TH AVE NE, SALEM, OR 97305-2611
(503) 928-0033
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10229857
OR
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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