MEDICARE: RYAN DANIEL MILLER BCBA, LBA

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	1-23-63480	NC
2	106S00000X	Behavior Technician	RBT-19-101603	NC

General Provider Information

NPI Number	:	1821631300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN DANIEL MILLER BCBA, LBA

Provider Business Mailing Address
First Line	:	6036 WEST HIGHWAY 74
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079
Country	:	US
Telephone Number	:	704-900-0054
Fax Number	:	704-973-9207

Provider Business Practice Location Address
First Line	:	6036 WEST HIGHWAY 74
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079
Country	:	US
Telephone Number	:	704-900-0054
Fax Number	:	704-973-9207

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

Provider Enumeration Date	:	10/28/2019
Last Update Date	:	03/02/2026

Similar Medicare Providers

1437007614 — JACOB LANDIS PT, DPT
Practice Location Address:

1001 VAN BUREN AVE STE 3
INDIAN TRAIL, NC
28079-5541

Practice Phone: 704-628-6053
Practice Fax: 704-628-6702

1558152629 — ANNA LINDSEY GOOD PT, DPT
Practice Location Address:

6437 OLD MONROE RD STE E
INDIAN TRAIL, NC
28079-5415

Practice Phone: 704-686-7767
Practice Fax:

1174487540 — MAITRI PARESHKUMAR DAVE PT
Practice Location Address:

6437 OLD MONROE RD STE E
INDIAN TRAIL, NC
28079-5415

Practice Phone: 704-686-7767
Practice Fax: 704-686-7732

1346195831 — MISS LASHAWN N/A CARTER REGISTERED NURSE
Practice Location Address:

1101 SARATOGA BLVD
INDIAN TRAIL, NC
28079-5757

Practice Phone: 704-941-8659
Practice Fax:

1225480221 — DR. CAMERON GENTILE D.C.
Practice Location Address:

100 PARK RD E
INDIAN TRAIL, NC
28079-7622

Practice Phone: 704-821-3222
Practice Fax: 704-821-3290

1679576490 — DR. JOHN MONBARREN D.C.
Practice Location Address:

616 INDIAN TRAIL RD S
INDIAN TRAIL, NC
28079-9680

Practice Phone: 704-821-6000
Practice Fax: 855-884-7853

Directions to “ RYAN DANIEL MILLER BCBA, LBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.