Craig Louis Miller, RBT
Behavior Technician in Debary, FL. Individual provider (NPI-1).
NPI number1316569080
StatusActive
Last updated in NPPESMay 15, 2020
Details
- NPI
- 1316569080
- Entity type
- Individual (NPI-1)
- Name
- Craig Louis Miller
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
454 Fort Florida RdDebary, FL 32713-9714
Phone 386-562-0170
Mailing address
3108 Mandeville StDeltona, FL 32738-2167
Phone 386-789-5222
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