Active NPI
Miller Erick Leveille
- Behavior Analyst
- Stamford, CT
National Provider Identifier
1184334872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4928274
- Practice address
- 422 Hope St
Stamford, CT 06906-1326 - Phone
- (475) 205-2915
- NPI assigned
- Dec 2, 2022
- Sex
- Male
- 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 | 4928274 | CT | Primary |
Addresses
Primary practice location
422 Hope St
Stamford, CT 06906-1326
Mailing address
422 Hope St
Stamford, CT 06906-1326
Phone (475) 205-2915
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 |
|---|---|---|---|
| 4928274 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1184334872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 HOPE ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069061326",
"telephone_number": "475-205-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 HOPE ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069061326",
"telephone_number": "475-205-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEILLE",
"first_name": "MILLER",
"middle_name": "ERICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "4928274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.