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Individual

CASEY MILLER KRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907
(510) 542-5775
Mailing address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37893
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist

Other

Enumeration date
09/18/2017
Last updated
11/18/2025
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