Individual provider Active NPI

Alissa Leah Miller, AS

  • Behavior Technician
  • Huntsville, AL
National Provider Identifier
1245077171
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1076055 Issued in AL
Practice address
2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343
Phone
(256) 701-3134
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 1076055 AL Primary

Addresses

Primary practice location

2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343

Mailing address

27551 Tim Wagnon LN
Athens, AL 35613-8650
Phone (256) 777-1934

Other practice location 1

6125 University Dr NW Ste B22
Huntsville, AL 35806-1765
Phone (256) 692-9262

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
Credentials
Associate of Science

State licenses

LicenseStateTypeSpecialty
1076055ALMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1245077171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27551 TIM WAGNON LN",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356138650",
            "telephone_number": "256-777-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 METRO CIR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015343",
            "telephone_number": "256-701-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 University Dr NW Ste B22",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358061765",
            "country_code": "US",
            "telephone_number": "256-692-9262",
            "fax_number": "888-392-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALISSA",
        "middle_name": "LEAH",
        "name_prefix": "Miss",
        "credential": "AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "1076055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.