Individual
CANDACE OPHELIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
373 S WILLOW ST # 266, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
5 FAIRCHILD CT, HAMPTON, VA 23666-6028
(757) 532-1946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002234
VA
103K00000X
Behavior Analyst
Primary
628
NC
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-17-39444
VA
Other
Enumeration date
01/16/2018
Last updated
11/27/2024
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