Miranda Amick

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

25 Thistle LN
Davis, WV 26260-1104

Phone

(304) 801-3258

Fax

(304) 362-0025

NPI assigned

Feb 5, 2020

Last updated

Dec 21, 2022By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountainside Behavior Analysis Services, LCC

  dba Mountainside ABA

  • Community/Behavioral Health Agency
  • Davis, WV
  • NPI 1225574544
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1356973614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 THISTLE LN",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "262601104",
            "telephone_number": "304-801-3258",
            "fax_number": "304-362-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 THISTLE LN",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "262601104",
            "telephone_number": "304-801-3258",
            "fax_number": "304-362-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 S Davis Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262418703",
            "country_code": "US",
            "telephone_number": "304-801-3258",
            "fax_number": "304-362-0025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1614 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541319",
            "country_code": "US",
            "telephone_number": "304-801-3258",
            "fax_number": "304-362-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMICK",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegheny Holistic Health Care, LLC
• Thomas William Ansell, FNP
• Arnold Enterprises, Inc
• Dena Beckner, PA
• Dwight David Bible
• Sonya Bible

• Assistant Behavior Analyst in Davis, WV
• Providers in Davis, WV by specialty
• Assistant Behavior Analyst in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.