Shelby D Miller, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6505 218TH St SW Ste 9
Mountlake Terrace, WA 98043-2135

Phone

(425) 563-1093

NPI assigned

Jul 1, 2017

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

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.

• Watch Me Grow Inc.

  • Behavior Analyst
  • Seattle, WA
  • NPI 1720792278
  NPD Authorized official

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1649791476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 31ST AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442556",
            "telephone_number": "425-577-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 218TH ST SW STE 9",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432135",
            "telephone_number": "425-563-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELBY",
        "middle_name": "D",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Coss Miller, ND
• Courtney Miller, MSW, LICSW
• Diane Virginia Miller, MS
• Margaret Joy Miller, OTR
• Nancy Dyer Miller, RD
• Kenneth Mills, DPT
• Mindful Therapy Group PC
• Chad Ryan Moeller, ATC, AT/L
• Ayan Mohamed, LSWAIC
• Wendy Mondoux

• Behavior Analyst in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.