Isaiah McMillen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10210 Davinhurst CT
Louisville, KY 40241-1188

Phone

(502) 641-5872

NPI assigned

Jul 30, 2019

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1316591118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 DAVINHURST CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411188",
            "telephone_number": "502-641-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 DAVINHURST CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411188",
            "telephone_number": "502-641-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "ISAIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "louisville",
            "affiliation": "N",
            "address_1": "10210 Davinhurst Ct",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402411188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Marie McMahon, PT, DPT
• Amber McManus
• Kelly M McMasters, MD
• Jorgia McMeans
• Shannon T McMillan, LPCC
• Mark McMillen
• Megan McMillen, LPCC
• Valerie Anne Key McMillen, DMD
• Jacquelyn McMillian-Bohler, CNM
• Charica McMillin, RBT

• Behavior Technician in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.