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Jaylene Miller

Behavior Technician in Farmington, NM. Individual provider (NPI-1).

NPI number1164035192
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1164035192
Entity type
Individual (NPI-1)
Name
Jaylene Miller
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 28, 2020
Certification date
Aug 28, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

912 Fairgrounds Rd. Trl 36
Farmington, NM 87401

Phone 505-592-3357

Mailing address

912 Fairgrounds Rd. Trl 36
Farmington, NM 87401

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