Individual provider Active NPI

Sunny Miller

  • Behavior Technician
  • Venice, FL
National Provider Identifier
1235640202
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
17-31740
Practice address
411 Commercial CT Ste F
Venice, FL 34292-1650
Phone
(941) 485-0121
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 17-31740 Primary

Addresses

Primary practice location

411 Commercial CT Ste F
Venice, FL 34292-1650

Mailing address

2701 N Rocky Point Dr Ste 650
Tampa, FL 33607-5999
Phone (800) 892-0640

Other practice location 1

2701 N Rocky Point Dr Ste 650
Tampa, FL 33607-5999
Phone (800) 892-0640

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

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235640202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N ROCKY POINT DR STE 650",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075999",
            "telephone_number": "800-892-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COMMERCIAL CT STE F",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921650",
            "telephone_number": "941-485-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 N Rocky Point Dr Ste 650",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075999",
            "country_code": "US",
            "telephone_number": "800-892-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUNNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "17-31740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.