MEDICARE: MRS. RAJEYA ABRIANA MILLER RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1023674132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAJEYA ABRIANA MILLER RBT

Provider Business Mailing Address
First Line	:	2904 E STAN SCHLUETER LOOP # 70
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 E STAN SCHLUETER LOOP # 70
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4813
Country	:	US
Telephone Number	:	254-295-4488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2019
Last Update Date	:	06/11/2019

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