Individual
ANDREW KIRBY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1151 DOVE ST, NEWPORT BEACH, CA 92660-2840
(949) 630-8290
Mailing address
3479 W SUGAR CREEK DR, MERIDIAN, ID 83646-1152
(208) 420-4274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19859
CO
Other
Enumeration date
02/09/2017
Last updated
12/19/2024
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