Mila Nicole Dewitt, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4242 Issued in NC

Practice address

390 S Liberty St
Winston Salem, NC 27101-5260

Phone

(336) 934-4058

Fax

(743) 255-3010

NPI assigned

Apr 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)
• Easter Seals Bay Area

  • Early Intervention Provider Agency
  • Fairfield, CA
  • NPI 1245536598

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1558756064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S LIBERTY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015260",
            "telephone_number": "336-934-4058",
            "fax_number": "743-255-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 Empire St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945335562",
            "country_code": "US",
            "telephone_number": "707-399-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "MILA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "4242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Dewar Sr., PA-C, MPAS
• Edward C. Dewindt-Robson, PH.D
• Linda Kimberly Dewindt, PH.D.
• Leila Hamzi Dewitt, D.O.
• Michael E. Dewitt, M.D.
• Logan James Deyo, MD
• Barry R Deyoung, MD
• Ajay Dharod, M.D.
• Parminder Singh Dhingra, M.D.
• Yassmeen Diab

• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.