Kelsey Jarna Miller
Individual provider Active NPI Behavior Analyst · Java, VA
NPI 1437717634 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1437717634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- LBA1398 (MD)
- Practice address
- 347 Riceville Rd
Java, VA 24565-4101 - Phone
- (434) 770-0049
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Unchained LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA1398 | MD | Yes |
Addresses
Primary practice location
347 Riceville Rd
Java, VA 24565-4101
Mailing address
347 Riceville Rd
Java, VA 24565-4101
Phone (434) 770-0049
Other practice location 1
3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326-1963
Phone (732) 534-3119
Other providers in Java, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.