Miles Stark
NPI #1194598078 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1194598078
- Entity Type
- Individual
- Name
- Miles Stark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 2, 2023
- Last Updated
- Dec 1, 2025
Practice Location
- Address
- 29429 JOHN R RD
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-2565
- Phone
- (248) 940-3592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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