Individual
HEATHER MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3010
(757) 639-2218
Mailing address
740 WILLOW LAKE CIR APT 101, VIRGINIA BEACH, VA 23452-7960
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/12/2015
Last updated
06/17/2019
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