Individual
ANNABELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22100 NE HALSEY ST # D232, FAIRVIEW, OR 97024-9500
(989) 889-4181
Mailing address
22100 NE HALSEY ST # D232, FAIRVIEW, OR 97024-9500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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