Candise Miller

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-2019 Issued in NC

Practice address

3000 Bethesda PL
Winston Salem, NC 27103-3331

Phone

(255) 751-0518

NPI assigned

Dec 6, 2017

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1184139610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586640",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "255-751-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Dunhagan Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278586640",
            "country_code": "US",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CANDISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-19-2019",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Miller, MA
• Antonius Arthur Miller, MD
• April Milan Miller, M.D.
• Briana Renee Miller, DNP, FNP-C
• Brooke S Miller, AUD
• Chadwick D Miller, MD
• Chelsie Miller, PT, DPT
• David Edward Miller Jr., DDS
• David Philip Miller Jr., MD
• Devin Miller

• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.