Healthcare Provider Details

I. General information

NPI: 1609531862
Provider Name (Legal Business Name): AUSTIN MILLER RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W FAIRMONT AVE FL 1
SAVANNAH GA
31406-3455
US

IV. Provider business mailing address

37 W FAIRMONT AVE FL 1
SAVANNAH GA
31406-3455
US

V. Phone/Fax

Practice location:
  • Phone: 912-532-9774
  • Fax: 912-221-3085
Mailing address:
  • Phone: 912-532-9774
  • Fax: 912-221-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-335378
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: