MEDICARE: ELLIOTT PHILLIP 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
1	103K00000X	Behavior Analyst	935	NC

General Provider Information

NPI Number	:	1952643751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOTT PHILLIP MILLER BCBA

Provider Business Mailing Address
First Line	:	PO BOX 802
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28802-0802
Country	:	US
Telephone Number	:	828-277-1315
Fax Number	:	828-277-1321

Provider Business Practice Location Address
First Line	:	14 MINERAL SPRINGS RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-1735
Country	:	US
Telephone Number	:	828-277-1315
Fax Number	:	828-277-1321

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

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	04/18/2026

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