Individual
MRS. RACHEL MAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LLP
Contact information
Practice address
1300 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6716
(260) 471-9263
(260) 471-9264
Mailing address
700 E FIRMIN STREET, SUITE 209, KOKOMO, IN 46902-2375
(765) 454-9748
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
6301013451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-05-2440
BCBA CERTIFICATE
—
Enumeration date
06/05/2008
Last updated
12/12/2014
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