Active NPI
Lisa Miller, MA, BCBA
- Behavior Analyst
- Broomfield, CO
National Provider Identifier
1659777464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12286 Utica St
Broomfield, CO 80020-5640 - Phone
- (720) 352-7458
- Fax
- (720) 729-8333
- NPI assigned
- Nov 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | CO | Primary |
Addresses
Primary practice location
12286 Utica St
Broomfield, CO 80020-5640
Mailing address
12286 Utica St
Broomfield, CO 80020-5640
Phone (720) 352-7458
Other practice location 1
1406 Centaur Cir
Lafayette, CO 80026-1432
Phone (720) 837-2348
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations Developmental Solutions | Behavior Analyst | Current | Accepting new patients |
| Colorado Residential Solutions | Past | Accepting new patients | |
| Mindcolor Autism LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Westminster, CO
- NPI 1447078035
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lafayette, CO
- NPI 1851650220
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1629634514
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1659777464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12286 UTICA ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800205640",
"telephone_number": "720-352-7458",
"fax_number": "720-729-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12286 UTICA ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800205640",
"telephone_number": "720-352-7458",
"fax_number": "720-729-8333"
}
],
"practiceLocations": [
{
"address_1": "1406 Centaur Cir",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "800261432",
"country_code": "US",
"telephone_number": "720-837-2348",
"fax_number": "303-554-5657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.