Amanda Lee Miller
Individual provider Active NPI Behavior Technician · Mattawan, MI
NPI 1780429993 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1780429993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 23200 Red Arrow Hwy
Mattawan, MI 49071-7774 - Phone
- (269) 355-6621
- NPI assigned
- Jun 28, 2024
- 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
23200 Red Arrow Hwy
Mattawan, MI 49071-7774
Mailing address
23200 Red Arrow Hwy
Mattawan, MI 49071-7774
Other providers in Mattawan, MI
- Mattawan Pharmacy
- Hailey Maynard
- Robert McDonald
- Robin Medendorp
- Midwest Chiropractic and Rehab LLC
- Sheryl Ann Miller
- Rebekah Johanna Moffit-Freer I
- Cali Mohney
- Sarah Mohney
- Isaac David Myers
All providers in Mattawan, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. 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.