MEDICARE: DR. AMANDA KAY MILES PH. D., LBA, BCBA-D

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	103K00000X	Behavior Analyst	LBA002726	GA

General Provider Information

NPI Number	:	1801724950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA KAY MILES PH. D., LBA, BCBA-D

Provider Business Mailing Address
First Line	:	24 ALDEN LN
Second Line	:
City	:	ROSSVILLE
State	:	GA
Zip	:	30741-5432
Country	:	US
Telephone Number	:	256-833-9451
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 S WALL ST
Second Line	:
City	:	CALHOUN
State	:	GA
Zip	:	30701-2649
Country	:	US
Telephone Number	:	706-383-8396
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ DR. AMANDA KAY MILES PH. D., LBA, BCBA-D” Practice Location

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