Individual
JESIKA MOXLEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9307 N LAKE DR SW STE 110, LAKEWOOD, WA 98498-1135
(253) 370-8173
Mailing address
2201 S 19TH ST STE 206, TACOMA, WA 98405-2961
(253) 312-3598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
10/19/2022
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