Active NPI
Madison J Miles, RBT
- Behavior Technician
- Kyle, TX
National Provider Identifier
1619509403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-105216
- Practice address
- 207 Elmhurst
Kyle, TX 78640-5981 - Phone
- (737) 248-7042
- Fax
- (512) 519-8781
- NPI assigned
- Feb 10, 2020
- 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 | 19-105216 | TX | Primary |
Addresses
Primary practice location
207 Elmhurst
Kyle, TX 78640-5981
Mailing address
207 Elmhurst
Kyle, TX 78640-5981
Phone (737) 248-7042
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 |
|---|---|---|---|
| 19-105216 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1619509403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 ELMHURST",
"city": "KYLE",
"state": "TX",
"postal_code": "786405981",
"telephone_number": "737-248-7042",
"fax_number": "512-519-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 ELMHURST",
"city": "KYLE",
"state": "TX",
"postal_code": "786405981",
"telephone_number": "737-248-7042",
"fax_number": "512-519-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "MADISON",
"middle_name": "J",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "19-105216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.