Healthcare Provider Details

I. General information

NPI: 1306545835
Provider Name (Legal Business Name): TAYTUM MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 WEDD ST
OVERLAND PARK KS
66085-7857
US

IV. Provider business mailing address

16201 WEDD ST
OVERLAND PARK KS
66085-7857
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-1418
  • Fax: 913-600-5592
Mailing address:
  • Phone: 913-213-1418
  • Fax: 913-600-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: