Annabelle Miller
Individual provider Active NPI Behavior Technician · Fairview, OR
NPI 1821961392 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1821961392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 22100 NE Halsey St # D232
Fairview, OR 97024-9500 - Phone
- (989) 889-4181
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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
22100 NE Halsey St # D232
Fairview, OR 97024-9500
Mailing address
22100 NE Halsey St # D232
Fairview, OR 97024-9500
Other providers in Fairview, OR
- Laurie Anne McAdam
- Jennifer Meisner
- Ariana Micek
- Zachary A Michaud
- Susan Mihm
- Nicholas Scott Monte
- Caitlin Morris
- Daniela Viorica Muresan
- Oak Haven Residential Inc
- Guy Arthur Olson
All providers in Fairview, 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 29, 2025. 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.