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NPI Code Detail

MEDICARE: MELISSA MILLER

MEDICARE: MELISSA 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
1103K00000XBehavior Analyst3511TX

General Provider Information

NPI Number : 1265042527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MILLER
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 1632 RAIDER WAY
Second Line :
City : LEANDER
State : TX
Zip : 78641-5404
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 12/01/2025

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Directions to “ MELISSA MILLER ” Practice Location

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