MEDICARE: AMINA DENISE MILLER RBT,CNA,MA

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	374U00000X	Home Health Aide		GA
2	376K00000X	Nurse's Aide		GA
3	106S00000X	Behavior Technician	RBT-25-503300	GA

General Provider Information

NPI Number	:	1295509891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINA DENISE MILLER RBT,CNA,MA

Provider Business Mailing Address
First Line	:	1625 ROSWELL RD APT 322
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-9012
Country	:	US
Telephone Number	:	205-597-6306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 ROSWELL RD APT 322
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-9012
Country	:	US
Telephone Number	:	205-597-6306
Fax Number	:

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

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	02/06/2026

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