Individual provider Active NPI

Ashlee Miklos

  • Behavior Analyst
  • Harrisburg, PA
National Provider Identifier
1295137222
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH002038 Issued in PA
Practice address
100 N Cameron St
Suite 401W
Harrisburg, PA 17101-2424
Phone
(717) 236-7357
Fax
(717) 236-2204
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH002038 PA Primary

Addresses

Primary practice location

100 N Cameron St
Suite 401W
Harrisburg, PA 17101-2424

Mailing address

100 N Cameron St
Suite 401W
Harrisburg, PA 17101-2424
Phone (717) 236-7357

Other identifiers 1

IdentifierTypeStateIssuer
BH002038OtherPABEHAVIOR SPECIALIST LICENSE

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

State licenses

LicenseStateTypeSpecialty
BH002038PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1295137222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CAMERON ST",
            "address_2": "SUITE 401W",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012424",
            "telephone_number": "717-236-7357",
            "fax_number": "717-236-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CAMERON ST",
            "address_2": "SUITE 401W",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012424",
            "telephone_number": "717-236-7357",
            "fax_number": "717-236-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOS",
        "first_name": "ASHLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR SPECIALIST LICENSE",
            "identifier": "BH002038",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.