Jackson Miller
NPI #1104679679 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1104679679
- Entity Type
- Individual
- Name
- Jackson Miller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 10 SNOWDEN ST
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01119-1435
- Phone
- (413) 478-1682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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