Adrianny Custodio-Miolan, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00260 Issued in RI

Practice address

1 Brookside Ave
North Providence, RI 02911-1510

Phone

(401) 548-0238

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Blue ABA Indiana LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1346972882

  Behavior Analyst

  NPD (past)
• HDL ABA TX PLLC

  • Behavior Analyst
  • Bellaire, TX
  • NPI 1487414728
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1134799299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKSIDE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029111510",
            "telephone_number": "401-548-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKSIDE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029111510",
            "telephone_number": "401-548-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTODIO-MIOLAN",
        "first_name": "ADRIANNY",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Cote, OTR/L
• Thomas A. Couturier, NP
• Jennifer Lynn Cox
• Christina Marie Craig, AGNP-C
• Lynn Curran, C.R.N.A.
• Frank Bruno D'Alessandro, M.D.
• Frank D'Amato, D.M.D.
• Elizabeth Da Silva, APRN
• Debra L. Dale-Walek, MD
• Darlington Assited Living Centers

• All providers in North Providence, RI
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.