Provider Demographics
NPI:1770443004
Name:MILLER, ALEX (QBHA)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:QBHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5455 N UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-2077
Mailing Address - Country:US
Mailing Address - Phone:719-308-5450
Mailing Address - Fax:
Practice Address - Street 1:5455 N UNION BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2077
Practice Address - Country:US
Practice Address - Phone:719-308-5450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst