Provider Demographics
NPI:1992380539
Name:MILLER, HINDA (MSED BCBA)
Entity Type:Individual
Prefix:
First Name:HINDA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSED BCBA
Other - Prefix:
Other - First Name:HINDA
Other - Middle Name:
Other - Last Name:LANDAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSED BCBA
Mailing Address - Street 1:909 E END AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2044
Mailing Address - Country:US
Mailing Address - Phone:732-374-3354
Mailing Address - Fax:
Practice Address - Street 1:909 E END AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2044
Practice Address - Country:US
Practice Address - Phone:732-374-3354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst