Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 1997173 | IN |
NPI | 1033727342 |
---|---|
Provider Name | Shaniya Mcmiller |
First Address | Highland, IN 46322-1631 |
Second Address | Highland, IN 46322-1631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2020 |
Last Update Date | 22/07/2020 |