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NPI Code Detail

MEDICARE: KATHERINE MILLER BCBA

MEDICARE: KATHERINE MILLER BCBA
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 Analyst1-09-6665CA

General Provider Information

NPI Number : 1770857104
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MILLER BCBA
Provider Business Mailing Address
First Line : 2400 LINCOLN OAK DR
Second Line :
City : MODESTO
State : CA
Zip : 95355-9435
Country : US
Telephone Number : 209-521-4791
Fax Number : 209-521-4794
Provider Business Practice Location Address
First Line : 2400 LINCOLN OAK DR
Second Line :
City : MODESTO
State : CA
Zip : 95355-9435
Country : US
Telephone Number : 209-484-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2012
Last Update Date : 03/10/2025

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Directions to “ KATHERINE MILLER BCBA” Practice Location

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