Individual
AUDREY MILTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
851 N WILSON ST, CRESTVIEW, FL 32536-2639
(850) 607-6910
(850) 607-6932
Mailing address
7669 BARRY CT, SEMINOLE, FL 33772-4926
(727) 742-7872
(877) 271-9338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13264
FL
Other
Enumeration date
02/20/2014
Last updated
10/29/2021
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