Individual
MS. ROSA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BBA
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 922-0124
Mailing address
PO BOX 195, SPENCER, OK 73084-0195
(405) 922-0124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
OK
Enumeration date
06/15/2007
Last updated
06/28/2012
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