Healthcare Provider Details

I. General information

NPI: 1801724950
Provider Name (Legal Business Name): AMANDA KAY MILES PH. D., LBA, BCBA-D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 S WALL ST
CALHOUN GA
30701-2649
US

IV. Provider business mailing address

24 ALDEN LN
ROSSVILLE GA
30741-5432
US

V. Phone/Fax

Practice location:
  • Phone: 706-383-8396
  • Fax:
Mailing address:
  • Phone: 256-833-9451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA002726
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: