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NPI Code Detail

MEDICARE: MICHAEL MILLER MA, BCBA

MEDICARE: MICHAEL MILLER MA, BCBA
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 AnalystLBA214MD
2103K00000XBehavior Analyst1-11-8443

General Provider Information

NPI Number : 1427398783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL MILLER MA, BCBA
Provider Business Mailing Address
First Line : 5310 SPECTRUM DR STE A
Second Line :
City : FREDERICK
State : MD
Zip : 21703-7362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5310 SPECTRUM DR STE A
Second Line :
City : FREDERICK
State : MD
Zip : 21703-7362
Country : US
Telephone Number : 301-337-8833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2013
Last Update Date : 08/06/2025

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