Individual
LISA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
12286 UTICA ST, BROOMFIELD, CO 80020-5640
(720) 352-7458
(720) 729-8333
Mailing address
12286 UTICA ST, BROOMFIELD, CO 80020-5640
(720) 352-7458
(720) 729-8333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/06/2014
Last updated
03/29/2021
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