Provider Demographics
NPI:1326388299
Name:MILLER, TIARA CHERIE
Entity Type:Individual
Prefix:
First Name:TIARA
Middle Name:CHERIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 CRESCENT CIR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-1240
Mailing Address - Country:US
Mailing Address - Phone:405-370-1625
Mailing Address - Fax:
Practice Address - Street 1:637 CRESCENT CIR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-1240
Practice Address - Country:US
Practice Address - Phone:405-370-1625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst