NPI 1154091098

Melissa Martina Humphrey Miller

Practitioner Behavior Technician Gig Harbor, WA

Practice location

Address: 3616 118th Street CT NW, Gig Harbor, WA 98332-6867
Phone: (844) 362-7943
Mailing address: 10915 Fruitland Ave E, Puyallup, WA 98373-4078

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence CB61014128 (WA)

Other Behavior Technician providers in Washington →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI: 1154091098
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2021
Record last updated: 13 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.