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Kaniesha Vashon Miller

Behavior Technician in Spartanburg, SC. Individual provider (NPI-1).

NPI number1164078499
StatusActive
Last updated in NPPESAug 13, 2019

Details

NPI
1164078499
Entity type
Individual (NPI-1)
Name
Kaniesha Vashon Miller
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2019
Last updated
Aug 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

195 Burdette St
Spartanburg, SC 29307-1003

Phone 864-585-0322

Mailing address

195 Burdette St
Spartanburg, SC 29307-1003

Phone 864-585-0322

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