Individual
ANGELICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 317-5768
Mailing address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 317-5768
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M460007885880
FL
Other
Enumeration date
02/05/2021
Last updated
03/09/2021
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