Logan Miller

NPI #1972049419 in Breckenridge, Michigan

Provider Information

NPI Number: 1972049419
Entity Type: Individual
Name: Logan Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 9, 2017
Last Updated: Jan 9, 2017

Practice Location

Address: 4511 S MAGRUDDER RD
City: Breckenridge
State: Michigan
ZIP Code: 48615-9633
Phone: (989) 284-7318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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