Active NPIIndividual provider

Kelsey L Miller

Behavior Technician in Medford, New Jersey

NPI Number1104598465
Practice location
4 Mill Run CT, Medford, NJ 08055-2436
Fax
—
Last updated
October 4, 2021

Kelsey Lynn Miller is a Behavior Technician based in Medford, NJ. Kelsey Lynn Miller practices in Medford, NJ. The NPI Number for Kelsey Lynn Miller is 1104598465 and holds a License No. 21-155700 (NJ). The current practice location address for Kelsey Lynn Miller is 4 Mill Run CT, Medford, NJ 08055-2436 and can be reached out via phone at 609-440-5792.

Provider Profile Details

NPI Number
1104598465
Provider Name
Kelsey Lynn Miller
Provider Entity Type
Individual
Gender
Female
Address
4 Mill Run CT, Medford, NJ 08055-2436
Phone Number
609-440-5792
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2021
Last Update Date
October 4, 2021
Certification Date
September 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Mill Run CT
Medford, NJ 08055-2436
Zip
08055-2436
Phone Number
609-440-5792
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
70 Setauket Trl
Medford Lakes, NJ 08055-1409
City
Medford Lakes
State
NJ
Zip
08055-1409
Phone Number
609-351-4388

License Information

License Number
21-155700
License State
NJ
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelsey L Miller?

The NPI number of Kelsey L Miller is 1104598465. It was assigned on October 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Kelsey L Miller?

Kelsey L Miller is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in NJ under license number 21-155700.

Where does Kelsey L Miller practice?

The practice location is 4 Mill Run CT, Medford, NJ 08055-2436. The office can be reached at 609-440-5792 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104598465 directly on the NPPES registry website.

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