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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARLENE MILLER M.A., BCBA COBA

MEDICARE: MRS. CHRISTINA MARLENE MILLER M.A., BCBA COBA
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
1247200000XOther Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1831536887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARLENE MILLER M.A., BCBA COBA
Provider Business Mailing Address
First Line : 300 E BUSINESS WAY STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2389
Country : US
Telephone Number : 408-472-9713
Fax Number :
Provider Business Practice Location Address
First Line : 300 E BUSINESS WAY STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2389
Country : US
Telephone Number : 408-472-9713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2013
Last Update Date : 05/23/2019

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