Active NPI
Emily Katelyn Miller
- Behavior Analyst
- Little Rock, AR
National Provider Identifier
1356813034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-38423
- Practice address
- 1210 Aldersgate Rd
Little Rock, AR 72205-6606 - Phone
- (501) 574-3053
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-19-38423 | AR | Primary |
Addresses
Primary practice location
1210 Aldersgate Rd
Little Rock, AR 72205-6606
Mailing address
1210 Aldersgate Rd
Little Rock, AR 72205-6606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913365075 | Other | AR | DRIVERS 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim Therapy, LLC | Current | Accepting new patients |
Locations
1210 Aldersgate Rd
Little Rock, AR 72205
Phone (501) 231-0181
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1356813034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056606",
"telephone_number": "501-574-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EMILY",
"middle_name": "KATELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "1-19-38423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "913365075",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.