Individual provider Active NPI

Mia J Coffing, BCBA

  • Behavior Analyst
  • Arvada, CO
National Provider Identifier
1114286218
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-6557 Issued in MI
Practice address
5523 Yank Way
Arvada, CO 80002-1339
Phone
(908) 591-7333
NPI assigned
May 9, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-09-6557 MI Primary

Addresses

Primary practice location

5523 Yank Way
Arvada, CO 80002-1339

Mailing address

5523 Yank Way
Arvada, CO 80002-1339
Phone (908) 591-7333

Other practice location 1

2701 W 84th Ave
Suite 201
Westminster, CO 80031-3836
Phone (303) 500-5055

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Learning Center, LLC Past Accepting new patients
Preferred Home Care Providers Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114286218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 YANK WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021339",
            "telephone_number": "908-591-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 YANK WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021339",
            "telephone_number": "908-591-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 W 84th Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313836",
            "country_code": "US",
            "telephone_number": "303-500-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFING",
        "first_name": "MIA",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-09-6557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.