Individual
MICHAEL GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2455
(888) 515-1793
Mailing address
5984 OLD ZERO RD, BERGER, MO 63014-1029
(573) 569-5153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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