Individual
LISA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA
Contact information
Practice address
6675 NW MEYERS CIR, PARKVILLE, MO 64152-5220
(913) 522-4775
Mailing address
PO BOX 901863, KANSAS CITY, MO 64190-1863
(913) 522-4775
(816) 326-0835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2010042683
MO
Other
Enumeration date
01/14/2011
Last updated
01/17/2014
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