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Lesley Miller

Behavior Technician in Crestview, FL. Individual provider (NPI-1).

NPI number1841962016
StatusActive
Last updated in NPPESOct 5, 2021

Details

NPI
1841962016
Entity type
Individual (NPI-1)
Name
Mrs. Lesley Miller
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2021
Certification date
Oct 5, 2021
Last updated
Oct 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

851 N Wilson St
Crestview, FL 32536-2639

Phone 850-607-6910 · Fax 850-607-6932

Mailing address

851 N Wilson St
Crestview, FL 32536-2639

Phone 850-607-6910 · Fax 850-607-6932

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