Organization Active NPI

Behavior Analysis Consultants of Mid Florida LLC

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1225374101
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3380 Issued in FL
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

Updated by the provider on Dec 8, 2016

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.