Individual
DAWN ELIZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 HIAWATHA RD, PUTNAM VALLEY, NY 10579
(845) 558-7188
Mailing address
25 HIAWATHA RD, PUTNAM VALLEY, NY 10579-1514
(845) 558-7188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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