Individual
ASHLEY C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
745 VISTABULA ST, LAKELAND, FL 33801-5424
(770) 557-8137
Mailing address
745 VISTABULA ST, LAKELAND, FL 33801-5424
(770) 557-8137
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3380
FL
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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