Provider Demographics
NPI:1003175639
Name:MILYKO, KERRI LYNN (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:LYNN
Last Name:MILYKO
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26837 TANIC DR
Mailing Address - Street 2:STE 103
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4613
Mailing Address - Country:US
Mailing Address - Phone:813-778-5201
Mailing Address - Fax:
Practice Address - Street 1:26837 TANIC DR
Practice Address - Street 2:STE 103
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4613
Practice Address - Country:US
Practice Address - Phone:813-778-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst