Travis Pentz Miller

NPI #1356820872 in Slc, Utah

Provider Information

NPI Number: 1356820872
Entity Type: Individual
Name: Travis Pentz Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 4460 S HIGHLAND DR
City: Slc
State: Utah
ZIP Code: 84124-3543
Phone: (888) 949-4865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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