Individual
ASHLEY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4129 E DOUGLAS AVE, DES MOINES, IA 50317-8115
(708) 722-2384
(708) 563-2125
Mailing address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
(765) 282-2820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-104793
IA
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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