Individual
RYAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BCBA
Contact information
Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(360) 571-2432
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41793
CA
171M00000X
Case Manager/Care Coordinator
10414
CA
Other
Enumeration date
02/14/2020
Last updated
03/12/2020
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