Individual
DEBORAH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4891 MILLER TRUNK HWY STE 206, HERMANTOWN, MN 55811-1563
(218) 720-2945
(218) 720-2947
Mailing address
4891 MILLER TRUNK HWY STE 206, HERMANTOWN, MN 55811-1563
(218) 720-2945
(218) 720-2947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1643
CA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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