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NPI Code Detail

MEDICARE: CHRISTIN MILLER

MEDICARE: CHRISTIN MILLER
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
1106S00000XBehavior TechnicianRBT-20-148752
2247200000XOther Technician
3106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1063014389
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIN MILLER
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 710 BUFFALO ST STE 802
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78401-1902
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 04/21/2021

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Directions to “ CHRISTIN MILLER ” Practice Location

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