Active NPI
Michael Mirliss
- Behavior Analyst
- Hawthorne, CA
National Provider Identifier
1356720502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 14135 Doty Ave
#18
Hawthorne, CA 90250-8084 - Phone
- (562) 277-2861
- NPI assigned
- May 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14135 Doty Ave
#18
Hawthorne, CA 90250-8084
Mailing address
14135 Doty Ave
#18
Hawthorne, CA 90250-8084
Phone (562) 277-2861
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1356720502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14135 DOTY AVE",
"address_2": "#18",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902508084",
"telephone_number": "562-277-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14135 DOTY AVE",
"address_2": "#18",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902508084",
"telephone_number": "562-277-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRLISS",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
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- Molly Maureen Ming, PT, DPT
- Minh Phuong DO, D.M.D. Inc. (DO Dental)
- Sabreana Mitchell
- Christina Marie Moine
- Molayem & Nattiv Dental Partnership (Polished Dental)
- Norma Adriana Monroy, P.A.
- Daniel Kiho Moon, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.