Michael D Miles JR.

NPI #1609662063 in Blacklick, Ohio

Provider Information

NPI Number: 1609662063
Entity Type: Individual
Name: Michael D Miles JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 15, 2025
Last Updated: Apr 15, 2025

Practice Location

Address: 1582 N WAGGONER RD STE A
City: Blacklick
State: Ohio
ZIP Code: 43004-8669
Phone: (614) 344-0419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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