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NPI Code Detail

MEDICARE: MEGAN M MILLER BCBA

MEDICARE:   MEGAN M MILLER  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 Analyst1-07-3498

General Provider Information

NPI Number : 1588842827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN M MILLER BCBA
Provider Business Mailing Address
First Line : 3937 RUE DE BRITTANY
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-5692
Country : US
Telephone Number : 850-348-5724
Fax Number :
Provider Business Practice Location Address
First Line : 1535 AMBERLEY FOREST RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-4706
Country : US
Telephone Number : 850-348-5724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2008
Last Update Date : 05/16/2014

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