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Grace Miller

Behavior Technician in Lake Oswego, OR. Individual provider (NPI-1).

NPI number1013590736
StatusActive
Last updated in NPPESApr 30, 2021

Details

NPI
1013590736
Entity type
Individual (NPI-1)
Name
Grace Miller
Sex
Female
Sole proprietor
No
Enumeration date
Apr 30, 2021
Certification date
Apr 30, 2021
Last updated
Apr 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

412 Jefferson Pkwy Ste 202
Lake Oswego, OR 97035-1252

Phone 888-428-3223 · Fax 323-866-1881

Mailing address

4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537

Phone 888-428-3223 · Fax 323-866-1881

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