Active NPI
Michelle Miller, M.A.T., BCBA
- Behavior Analyst
- Garwood, NJ
National Provider Identifier
1154728145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11415797
- Practice address
- 517 Willow Ave
Garwood, NJ 07027-1227 - Phone
- (973) 919-7239
- NPI assigned
- Nov 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11415797 | NJ | Primary |
Addresses
Primary practice location
517 Willow Ave
Garwood, NJ 07027-1227
Mailing address
517 Willow Ave
Garwood, NJ 07027-1227
Phone (973) 919-7239
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 |
|---|---|---|---|
| 11415797 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1154728145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 WILLOW AVE",
"city": "GARWOOD",
"state": "NJ",
"postal_code": "070271227",
"telephone_number": "973-919-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 WILLOW AVE",
"city": "GARWOOD",
"state": "NJ",
"postal_code": "070271227",
"telephone_number": "973-919-7239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELLE",
"credential": "M.A.T., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "11415797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.