Individual
AMANDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1885 W HIBISCUS BLVD, MELBOURNE, FL 32901
(321) 372-6813
(321) 765-6434
Mailing address
1885 W HIBISCUS BLVD, MELBOURNE, FL 32901
(321) 372-6813
(321) 765-6434
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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