Individual provider Active NPI

Caleb Johan Milton, RBT

  • Behavior Technician
  • Shreveport, LA
National Provider Identifier
1528653664
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
R-8252 Issued in LA
Practice address
2715 Mackey PL Ste 230
Shreveport, LA 71118-2544
Phone
(318) 779-1397
Fax
(318) 625-0586
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-155534
Behavior Technician 106S00000X R-8252 LA Primary

Addresses

Primary practice location

2715 Mackey PL Ste 230
Shreveport, LA 71118-2544

Mailing address

8450 Parkdale Dr
Shreveport, LA 71108-5322
Phone (318) 655-8509

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
R-8252LAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1528653664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 PARKDALE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711085322",
            "telephone_number": "318-655-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 230",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182544",
            "telephone_number": "318-779-1397",
            "fax_number": "318-625-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "CALEB",
        "middle_name": "JOHAN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-21-155534",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-8252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.