Individual
DAYNA JO MILLER-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Mailing address
6500 N SAINT LOUIS, BATESVILLE, AR 72501-8251
(870) 275-2312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-8146
—
235Z00000X
Speech-Language Pathologist
Primary
SP3004
AR
Other
Enumeration date
10/01/2008
Last updated
01/19/2021
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