Miciah Jo Mills

NPI #1215716162 in Saint Anthony, Minnesota

Provider Information

NPI Number: 1215716162
Entity Type: Individual
Name: Miciah Jo Mills
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 3055 OLD HIGHWAY 8 STE 190
City: Saint Anthony
State: Minnesota
ZIP Code: 55418-2595
Phone: (612) 345-7659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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