Individual
JOURDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CEDAR ST STE 10, WELLESLEY, MA 02481-3527
(617) 618-9152
Mailing address
110 CEDAR ST STE 10, WELLESLEY, MA 02481-3527
(617) 618-9152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y8931008
CA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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