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Individual

RYAN DANIEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
6036 WEST HIGHWAY 74, INDIAN TRAIL, NC 28079
(704) 900-0054
(704) 973-9207
Mailing address
6036 WEST HIGHWAY 74, INDIAN TRAIL, NC 28079
(704) 900-0054
(704) 973-9207

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63480
NC
103K00000X
Behavior Analyst
Primary
NC
106S00000X
Behavior Technician
RBT-19-101603
NC

Other

Enumeration date
10/28/2019
Last updated
03/02/2026
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