NPI 1679105928 · live from the CMS NPI Registry
Adrienne Jackson Miller
Behavior Analyst in Winchester, VA. National Provider Identifier 1679105928, active.
NPI record
| NPI | 1679105928 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 116 W Piccadilly St Ste 12, Winchester, VA 22601 |
| Practice phone | 304-801-3258 |
| Mailing address | 25 Thistle Ln, Davis, WV 26260 |
| Enumerated | February 5, 2020 |
| Last updated | December 20, 2022 |
| Sole proprietor | No |
| Other names | Adrienne Jackson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.