Active NPI
Behavior Analysis Consultants of Mid Florida LLC
- Behavior Analyst
- Lakeland, FL
National Provider Identifier
1225374101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-07-3380
- Legal business name
- BEHAVIOR ANALYSIS CONSULTANTS OF MID FLORIDA LLC
- Practice address
- 248 N Kentucky Ave
Lakeland, FL 33801-4976 - Phone
- (863) 614-0048
- Fax
- (863) 614-0077
- NPI assigned
- Dec 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley C Miller, M.S., BCBA
- Title
- Owner/Behavior Analyst
- Phone
- (863) 614-0048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-07-3380 | FL | Primary |
Addresses
Primary practice location
248 N Kentucky Ave
Lakeland, FL 33801-4976
Mailing address
304 E Pine St # 19
Lakeland, FL 33801-4969
Phone (863) 614-0048
National Provider Directory
National Provider DirectoryLocations
248 N Kentucky Ave
Lakeland, FL 33801
Phone (863) 614-0048
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Lakeland, FL
- NPI 1033599048
-
- Behavior Analyst
- Lakeland, FL
- NPI 1104162098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1225374101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E PINE ST # 19",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014969",
"telephone_number": "863-614-0048",
"fax_number": "863-614-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 N KENTUCKY AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014976",
"telephone_number": "863-614-0048",
"fax_number": "863-614-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIOR ANALYSIS CONSULTANTS OF MID FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-20",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
"authorized_official_telephone_number": "863-614-0048",
"authorized_official_credential": "M.S., BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-07-3380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.