Miller, Dominique Marie

Miller, Dominique Marie is an individual health care provider with primary practice located at 2400 Science Pkwy , Okemos MI 48864-2560. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Miller, Dominique Marie can be contacted via phone (517) 927-8696.

Contact Information

Primary practice address
2400 Science Pkwy Okemos MI 48864-2560
Phone: (517) 927-8696
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801081451 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1336406784
LBN Legal business name Miller, Dominique Marie
Credentials LMSW, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Nov 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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