Healthcare Provider Details

I. General information

NPI: 1659286854
Provider Name (Legal Business Name): SUNRISE AUTISM THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CROSS CREEK WAY
WARNER ROBINS GA
31088-3243
US

IV. Provider business mailing address

401 CROSS CREEK WAY
WARNER ROBINS GA
31088-3243
US

V. Phone/Fax

Practice location:
  • Phone: 478-258-2938
  • Fax:
Mailing address:
  • Phone: 478-258-2938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. AMBER NICHOL MILLER
Title or Position: OWNER/MANAGING MEMBER
Credential: BCBA
Phone: 478-258-2938