Theodore Joseph Miller

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1811 Grand Canal Blvd
Stockton, CA 95207-8155

Phone

(888) 880-9270

NPI assigned

Mar 14, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theo Joseph Miller Other name

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": "1773446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1225985500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 LEGEND CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 GRAND CANAL BLVD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078155",
            "telephone_number": "888-880-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEO",
            "last_name": "MILLER",
            "middle_name": "JOSEPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kerissa Lee Miller
• Nathan Miller
• Nicole Miller
• Star Victoria Miller
• Tahirah Miller
• Timothy R Miller, PH.D.
• Warren L Miller Jr., LICSW, LCSW, PH.D
• Carol Anne Mills, RN
• Hannah Kathleen Mills
• Rachelle Mills

• Behavior Technician in Stockton, CA
• Providers in Stockton, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.