Active NPI
Mikayla Donice Woods, M.ED BCBA LBA
- Behavior Analyst
- Lubbock, TX
National Provider Identifier
1477054393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-32257
- Practice address
- 6613 Milwaukee Ave
Lubbock, TX 79424-0619 - Phone
- (806) 317-1071
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-32257 | TX | Primary |
Addresses
Primary practice location
6613 Milwaukee Ave
Lubbock, TX 79424-0619
Mailing address
6613 Milwaukee Ave
Lubbock, TX 79424-0619
Phone (806) 317-1071
Other names 1
- Mikayla Donice Miller
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caprock Behavioral Solutions,LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Lubbock, TX
- NPI 1497196331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1477054393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6613 MILWAUKEE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794240619",
"telephone_number": "806-317-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6613 MILWAUKEE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794240619",
"telephone_number": "806-317-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "MIKAYLA",
"middle_name": "DONICE",
"credential": "M.ED BCBA LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-18-32257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKAYLA",
"last_name": "MILLER",
"middle_name": "DONICE",
"credential": "M.ED BCBA LBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.