Individual
JENNA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S 100 W APT 9, CEDAR CITY, UT 84720-3269
(435) 218-9526
Mailing address
304 S 100 W APT 9, CEDAR CITY, UT 84720-3269
(435) 218-9526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
247200000X
—
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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