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NPI Code Detail

MEDICARE: AMANDA MILLER RBT

MEDICARE: AMANDA MILLER RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT0864NV
2106S00000XBehavior TechnicianRBT19-98036NV

General Provider Information

NPI Number : 1043860521
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MILLER RBT
Provider Business Mailing Address
First Line : 9541 IRONTON WAY UNIT D
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7151
Country : US
Telephone Number : 702-910-8607
Fax Number :
Provider Business Practice Location Address
First Line : 1127 S RANCHO DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2216
Country : US
Telephone Number : 888-611-0870
Fax Number : 888-714-4996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 11/07/2022

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Directions to “ AMANDA MILLER RBT” Practice Location

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