Individual
ANGELA ANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 TRINITY ST, OCEANSIDE, NY 11572-3224
(516) 351-1705
Mailing address
3006 TRINITY ST, OCEANSIDE, NY 11572-3224
(516) 351-1705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
Primary
1734091
NY
Other
Enumeration date
06/07/2018
Last updated
01/20/2020
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