Individual provider Active NPI

Milton Bret Mixon, BCBA, CCC-SLP

  • Behavior Analyst
  • Grand Junction, CO
National Provider Identifier
1073715348
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
395 Ridges Blvd
Grand Junction, CO 81507-4630
Phone
(970) 812-3828
Fax
(970) 807-0765
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

395 Ridges Blvd
Grand Junction, CO 81507-4630

Mailing address

395 Ridges Blvd
Grand Junction, CO 81507-4630
Phone (970) 812-3828

Other identifiers 2

IdentifierTypeStateIssuer
9000167646MedicaidCO
SLP.0001198OtherCOSTATE LICENSE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Face to Face Communication, LLC Speech-Language Pathologist CurrentSince Apr 27, 2025 Accepting new patients
Face to Face Communication, LLC Behavior Analyst Current Accepting new patients
Lower Valley Hospital Association Behavior Analyst Past Accepting new patients
Lower Valley Hospital Association Past Accepting new patients

Locations

395 Ridges Blvd
Grand Junction, CO 81507
Phone (970) 812-3828

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1073715348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 RIDGES BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815074630",
            "telephone_number": "970-812-3828",
            "fax_number": "970-807-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 RIDGES BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815074630",
            "telephone_number": "970-812-3828",
            "fax_number": "970-807-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "MILTON",
        "middle_name": "BRET",
        "credential": "BCBA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000167646",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SLP.0001198",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.