Individual
FAYE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(254) 252-7215
Mailing address
145 MELANO ST, RAPID CITY, SD 57701-0973
(254) 252-7215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137220
SD
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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