Organization Active NPI

Jeanna Milton, Bcba

Doing business as ABA Humboldt

  • Behavior Analyst
  • McKinleyville, CA
National Provider Identifier
1235743030
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JEANNA MILTON, BCBA
Doing business as
ABA Humboldt
Practice address
1622 Bartow Rd
McKinleyville, CA 95519-4309
Phone
(707) 672-5527
Fax
(707) 633-1755
NPI assigned
Aug 31, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Jeanna Loray Milton, M.ED, BCBANPI 1376845693
Title
Owner/Founding Bcba
Phone
(707) 672-5527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1622 Bartow Rd
McKinleyville, CA 95519-4309

Mailing address

1622 Bartow Rd
McKinleyville, CA 95519-4309
Phone (707) 672-5527

Other names 1

  • ABA Humboldt Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1235743030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 BARTOW RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194309",
            "telephone_number": "707-672-5527",
            "fax_number": "707-633-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 BARTOW RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194309",
            "telephone_number": "707-672-5527",
            "fax_number": "707-633-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNA MILTON, BCBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_middle_name": "LORAY",
        "authorized_official_title_or_position": "OWNER/FOUNDING BCBA",
        "authorized_official_telephone_number": "707-672-5527",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Humboldt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA Humboldt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.