Phyllis Yvonne Miller

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

15450 Casa Grande St
Moreno Valley, CA 92557

Phone

(951) 801-9212

NPI assigned

Aug 23, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164949921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 CASA GRANDE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92557",
            "telephone_number": "951-801-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 CASA GRANDE ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92557",
            "telephone_number": "951-801-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PHYLLIS",
        "middle_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Millard, DO
• Aaliyah Miller
• Ana Miller, ACSW
• Colette Dorine Miller
• James Mathew Miller, DO
• Tyrone C Miller
• Jasmine Chastity Mims
• Aung Myo Min, D.D.S.
• Nicolas Kyung Joon Min, PHARMD
• Mindful Meadows Therapy

• Behavior Analyst in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.