Individual
MS. BRENDA LUCILLE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SPECIAL EDUCATION
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
204 DENTON PL, ROOSEVELT, NY 11575-1520
(516) 632-9779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
174400000X
Specialist
466398
NY
Other
Enumeration date
08/28/2015
Last updated
02/23/2020
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