Reo Kim Miller, M.S., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

711 Commerce St Ste 204
Tacoma, WA 98402-4514

Phone

(603) 692-8173

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Imagine Behavioral & Developmental Services

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1619211042

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1326384363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 SW OAK RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678119",
            "telephone_number": "781-704-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COMMERCE ST STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024514",
            "telephone_number": "603-692-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "REO",
        "middle_name": "KIM",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60772446",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-09-5710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSURE",
            "identifier": "BA60772446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Troy Miller, PHARMD
• Nishie Shanee Miller, LPN
• Owen William Miller, N.D.
• Quinn Miller
• Rachel Nicole Miller, AUD, CCC-A
• Sarah E Miller, PA-C
• Seth Miller, ATC
• Seth Leland Miller, M.D.
• Shaun Miller, MD
• Tamika Leila Miller, LP61500616

• Behavior Analyst in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.