Individual provider Active NPI

Jennifer Lynn Miller, BCBA

  • Behavior Analyst
  • Choctaw, OK
National Provider Identifier
1467937359
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-22214 Issued in OK
Practice address
1960 Harper St
Choctaw, OK 73020-8095
Phone
(405) 281-1040
Fax
(405) 987-1070
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 079 KS
Behavior Analyst 103K00000X 1-16-22214 OK Primary

Addresses

Primary practice location

1960 Harper St
Choctaw, OK 73020-8095

Mailing address

509 NW 116TH St
Oklahoma City, OK 73114-7910
Phone (405) 519-6797

Other practice location 1

16538 N May Ave
Edmond, OK 73012-9007
Phone (405) 265-9208

Other practice location 2

4921 E 21st St N
Wichita, KS 67208-1602
Phone (316) 681-3204

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
079KSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Is Hope Foundation Inc Past Accepting new patients
Hopebridge LLC Behavior Analyst Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1467937359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NW 116TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147910",
            "telephone_number": "405-519-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 HARPER ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208095",
            "telephone_number": "405-281-1040",
            "fax_number": "405-987-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16538 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730129007",
            "country_code": "US",
            "telephone_number": "405-265-9208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4921 E 21st St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672081602",
            "country_code": "US",
            "telephone_number": "316-681-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "079",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-16-22214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.