Jeanna Loray Milton, M.ED, BCBA

Individual provider Active NPI Behavior Analyst · McKinleyville, CA

NPI 1376845693 · NPPES record last updated Aug 31, 2020

Key facts

NPI
1376845693
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1622 Bartow Rd
McKinleyville, CA 95519-4309
Phone
(707) 672-5527
Fax
(707) 633-1755
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanna Milton, Bcba Behavior Analyst Current
since Sep 6, 2020
Accepting new patients
Active Learners Behavioral Consulting, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X OK Yes

Addresses

Primary practice location

1622 Bartow Rd
McKinleyville, CA 95519-4309

Mailing address

1622 Bartow Rd
McKinleyville, CA 95519-4309
Phone (077) 672-5527

Other identifiers

IdentifierTypeStateIssuer
1-10-7508OtherBEHAVIOR ANALYSIT BOARD CERTIFICATION NUMBER

Other providers in McKinleyville, CA

All providers in McKinleyville, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.