Jordan Miller

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

314 Laurel Oaks Dr
Youngsville, NC 27596-2099

Phone

(704) 559-2069

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1316633803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BEAR CREEK PATH APT 621",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609461",
            "telephone_number": "406-413-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LAUREL OAKS DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275962099",
            "telephone_number": "704-559-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Allan McNair, D.C.
• Chelsea Rose McNally, PA-C
• Calisha McRae, RN
• Medaccess Urgent Care, PLLC
• Karimah L'Trelle Midgette, MA, LPC
• Donna M Millet, SLP
• Tatjana Milutinovic
• Moses Mitchener
• Imani Nicole Mobley
• Jonathan C Montague

• Assistant Behavior Analyst in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Assistant Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.