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NPI Code Detail

MEDICARE: ELLIOTT PHILLIP MILLER BCBA

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
1103K00000XBehavior Analyst935NC

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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