Individual
KACEY M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., BCABA, LABA
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(502) 633-1007
Mailing address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
(270) 883-5547
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
289548
KY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/28/2017
Last updated
08/20/2024
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