Individual provider Active NPI

Ashley Ann Miller, RBT

  • Behavior Technician
  • Des Moines, IA
National Provider Identifier
1407494032
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-104793 Issued in IA
Practice address
4129 E Douglas Ave
Des Moines, IA 50317-8115
Phone
(708) 722-2384
Fax
(708) 563-2125
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-104793 IA Primary

Addresses

Primary practice location

4129 E Douglas Ave
Des Moines, IA 50317-8115

Mailing address

3601 W Bethel Ave
Muncie, IN 47304-5408
Phone (765) 282-8222

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

State licenses

LicenseStateTypeSpecialty
RBT-19-104793IAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Associates of Indiana LLC CurrentSince Sep 27, 2020 Accepting new patients
Behavior Associates of Iowa LLC PastSince Dec 15, 2019 Accepting new patients

Locations

3601 W Bethel Ave
Muncie, IN 47304
Phone (765) 876-5098

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1407494032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045408",
            "telephone_number": "765-282-8222",
            "fax_number": "765-282-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 E DOUGLAS AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503178115",
            "telephone_number": "708-722-2384",
            "fax_number": "708-563-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IA",
            "license": "RBT-19-104793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.