Jacy Lyn Miller, RBT

NPI #1194308775 in Ardmore, Oklahoma

Provider Information

NPI Number: 1194308775
Entity Type: Individual
Name: Jacy Lyn Miller, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: May 3, 2021
Last Updated: May 3, 2021

Practice Location

Address: 1301 KIOWA ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2280
Phone: (580) 670-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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