Individual
JUSTIN DAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 SW 9TH AVE APT 411, PORTLAND, OR 97205-2575
(153) 086-7437
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10258357
OR
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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