Ivy Desdemona Miller
Ivy Desdemona Miller is a Behavior Technician in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
370 E Herbert Ave Apt BSalt Lake City, UT 84111-4743
Phone: (775) 340-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1730753609 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2021 |
| Last updated in NPPES | May 16, 2021 |
| Certification date | May 16, 2021 |
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