Provider / Organization | NPI | Date Certified |
---|---|---|
ANTHONY MCMILLIAN | 1427652395 | 2020-11-22 |
Anthony Mcmillian is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427652395. Registration indicates Anthony Mcmillian is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Anthony Mcmillian |
Practice Office Address | 3000 LATROBE DR CHARLOTTE, NC US |
Practice Office Telephone | 7047804271 |
Mailing Address | 255 E FRONTAGE RD CAMPOBELLO, SC 293228909 US |
Business Telephone | 8644979317 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |