Charisse Miller

NPI #1316593205 in Draper, Utah

Provider Information

NPI Number: 1316593205
Entity Type: Individual
Name: Charisse Miller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 11715 S STATE ST APT J103
City: Draper
State: Utah
ZIP Code: 84020-6935
Phone: (801) 889-0265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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