Lisa Marie Miller, M.S.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2010042683 Issued in MO

Practice address

6675 NW Meyers Cir
Parkville, MO 64152-5220

Phone

(913) 522-4775

NPI assigned

Jan 14, 2011

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

Other names 1

• Lisa Marie Wimberley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Individualized Behavior Solutions, LLC

  • Behavior Analyst
  • Parkville, MO
  • NPI 1982887105
  NPD (past) Authorized official

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1295030609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901863",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641901863",
            "telephone_number": "913-522-4775",
            "fax_number": "816-326-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 NW MEYERS CIR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641525220",
            "telephone_number": "913-522-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "M.S.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2010042683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WIMBERLEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meritas Health Corporation
• Jerin Elizabeth Meyer
• Jordan Meyer, PLPC
• Michael P. Berry, D.D.S., P.C.
• Becky Milks, PLPC
• Raeann Elizabeth Miranda, MS, LMFT, LPC
• Caitlin Morlok, PLPC
• Margaret Anne Moyes
• Molly Claire Mulqueen
• Jennifer Munroe, LSCSW

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

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