Eryn Nichole Miner, MSE, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

15834 Clayton Road
Ellisville, MO 63011

Phone

(636) 227-2339

NPI assigned

Jun 27, 2013

Sex

Female

Sole proprietor

Yes

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

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.

• Howard Park Early Intervention Center

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1396739124
  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1265872964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15834 CLAYTON ROAD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "63011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15834 CLAYTON ROAD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-227-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "ERYN",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "MSE, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Frith DDS
• Michael S Cherre DDS
• Midwest Medical Services, P.C.
• Dhaniele Miller, DDS
• McKenna Rae Miller
• Missouri CVS Pharmacy, L.L.C.
• Andrew G. Mitchell, D.D.S.
• Andrew Scott Mitchell
• Jaden Mocumbi, COTA/L
• Laura Emily Modica, LPC

• Behavior Analyst in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.