Active NPI
Miller Goan
- Behavior Analyst
- Smyrna, TN
National Provider Identifier
1023634839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1199
- Practice address
- 883 Seven Oaks Blvd Ste 850
Smyrna, TN 37167-6691 - Phone
- (629) 216-2007
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1199 | TN | Primary |
Addresses
Primary practice location
883 Seven Oaks Blvd Ste 850
Smyrna, TN 37167-6691
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (629) 216-2007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1199 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1023634839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "629-216-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "883 SEVEN OAKS BLVD STE 850",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676691",
"telephone_number": "629-216-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOAN",
"first_name": "MILLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.