Active NPI
Lydia Miller, RBT
- Behavior Technician
- Camarillo, CA
National Provider Identifier
1477061703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-36197
- Practice address
- 3001 Mission Oaks Blvd Unit a
Camarillo, CA 93012-8710 - Phone
- (805) 383-5566
- Fax
- (888) 659-0031
- NPI assigned
- Jan 22, 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 Technician | 106S00000X | RBT-17-36197 | CA | Primary |
Addresses
Primary practice location
3001 Mission Oaks Blvd Unit a
Camarillo, CA 93012-8710
Mailing address
3001 Mission Oaks Blvd Unit a
Camarillo, CA 93012-8710
Phone (805) 383-5566
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-36197 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addison Behavioral Resources, Inc. | 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
- Camarillo, CA
- NPI 1114223765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1477061703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 MISSION OAKS BLVD UNIT A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128710",
"telephone_number": "805-383-5566",
"fax_number": "888-659-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 MISSION OAKS BLVD UNIT A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128710",
"telephone_number": "805-383-5566",
"fax_number": "888-659-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LYDIA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-17-36197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.