Tracy Jester Miller, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48082 Issued in IN

Practice address

1081 3Rd Ave SW Ste 7
Carmel, IN 46032-7500

Phone

(317) 564-0934

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse Behavioral Services, LLC

  • Behavior Analyst
  • Carmel, IN
  • NPI 1598186363
  NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1225623044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 3RD AVE SW STE 7",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327500",
            "telephone_number": "317-564-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRACY",
        "middle_name": "JESTER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-21-48082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L Miller, MSD, DDS
• Sarah E Miller, NP
• Shelby Miller
• Shelby Ann Miller, PA-C
• Shyla Miller
• Victoria Jean Miller, M.D.
• Nathan Lee Milligan
• Sarah M.a. Millikan, M.S., CCC-SLP
• Amanda Mills, COTA
• Mimms Functional Rehabilitation PC

• Behavior Analyst in Carmel, IN
• Providers in Carmel, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.