Individual
STEPHANIE JANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
4425 W OLIVE AVE STE 167, GLENDALE, AZ 85302-3845
(602) 540-0686
Mailing address
4700 E THOMAS RD, PHOENIX, AZ 85018-7700
(602) 540-0686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000549
AZ
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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