MEDICARE: ALLYSON 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
1	106E00000X	Assistant Behavior Analyst	0134000680	VA
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1437870268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON MILLER

Provider Business Mailing Address
First Line	:	116 YORKSHIRE TER
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2047
Country	:	US
Telephone Number	:	757-593-8024
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 STURBRIDGE DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3700
Country	:	US
Telephone Number	:	804-897-1753
Fax Number	:

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

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	03/30/2026

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Directions to “ ALLYSON MILLER ” Practice Location

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