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Stacie Simmons-Miller, RBT

Behavior Technician in Decatur, GA. Individual provider (NPI-1).

NPI number1679498331
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1679498331
Entity type
Individual (NPI-1)
Name
Stacie Simmons-Miller
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 12, 2026
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-24-395509GAYes

Practice location

1894 Ludovie Ln
Decatur, GA 30033-1044

Phone 678-626-0557 · Fax 678-288-7932

Mailing address

1894 Ludovie Ln
Decatur, GA 30033-1044

Phone 678-626-0557 · Fax 678-288-7932

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