Individual
JAMES GORDON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5290 SHAWNEE RD STE 220, ALEXANDRIA, VA 22312-2381
(703) 539-8619
Mailing address
5290 SHAWNEE RD STE 220, ALEXANDRIA, VA 22312-2381
(703) 539-8619
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB364042
VA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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