Healthcare Provider Details

I. General information

NPI: 1962323352
Provider Name (Legal Business Name): JAMES MILLIKEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S DOUGLAS RD # 230
CORAL GABLES FL
33134-4108
US

IV. Provider business mailing address

700 SW 1ST ST APT 805
MIAMI FL
33130-1295
US

V. Phone/Fax

Practice location:
  • Phone: 786-933-6274
  • Fax:
Mailing address:
  • Phone: 615-243-9790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: