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NPI Code Detail

MEDICARE: ANGIE CORNELIA WHITE-MILLER

MEDICARE: ANGIE CORNELIA WHITE-MILLER
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1205366861
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIE CORNELIA WHITE-MILLER
Provider Business Mailing Address
First Line : 3606 N RANCHO DR STE 142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3130
Country : US
Telephone Number : 702-778-5300
Fax Number : 702-778-5301
Provider Business Practice Location Address
First Line : 3606 N RANCHO DR STE 142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3130
Country : US
Telephone Number : 702-778-5300
Fax Number : 702-778-5301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 07/21/2022

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Directions to “ ANGIE CORNELIA WHITE-MILLER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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