Michaela Ann Miller, BEHAVIOR TECHNICIAN
Individual provider Active NPI Behavior Technician · Molalla, OR
NPI 1235789652 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1235789652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 872 W Main St Apt Ff259
Molalla, OR 97038-8862 - Phone
- (971) 407-8978
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
872 W Main St Apt Ff259
Molalla, OR 97038-8862
Mailing address
872 W Main St Apt Ff259
Molalla, OR 97038-8862
Phone (971) 407-8978
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92042612 | Other | OR | HEALTH RECORD NUMBER |
Other providers in Molalla, OR
- Anna McCann
- Joya McKinley
- Marianna J McLean
- William J.P. Melby
- Michelle Katherine Michaels
- Molalla Chiropractic & Naturopathic Clinic P.C.
- Molalla Dental Clinic P.C.
- Molalla Family Dental, PC
- Molalla Medical Clinic
- Molalla River School District
All providers in Molalla, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.