Individual provider Active NPI

Dana Lauren Miller, MS, BCBA

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1639324833
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-06-3011 Issued in FL
Practice address
717 NE 17TH Way
Apt 3
Fort Lauderdale, FL 33304-3444
Phone
(954) 232-7481
NPI assigned
Dec 2, 2008
Reactivated
Aug 13, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-06-3011 FL Primary

Addresses

Primary practice location

717 NE 17TH Way
Apt 3
Fort Lauderdale, FL 33304-3444

Mailing address

717 NE 17TH Way
Apt 3
Fort Lauderdale, FL 33304-3444
Phone (954) 232-7481

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dayna Lauren, LLC Behavior Analyst Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1639324833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE 17TH WAY",
            "address_2": "APT 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043444",
            "telephone_number": "954-232-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 17TH WAY",
            "address_2": "APT 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043444",
            "telephone_number": "954-232-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANA",
        "middle_name": "LAUREN",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "deactivation_date": "2019-03-04",
        "reactivation_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-06-3011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.