Kacey M Miller, B.S., BCABA, LABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

289548 Issued in KY

Practice address

529 Westport Rd
Elizabethtown, KY 42701-2923

Phone

(502) 633-1007

NPI assigned

Dec 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kacey M Bloomfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Marin Autism Interventions LLC

  • Behavior Analyst
  • Webster, KY
  • NPI 1912592130
  NPD

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1669988689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 EMMANUEL WAY LN",
            "city": "WEBSTER",
            "state": "KY",
            "postal_code": "401765037",
            "telephone_number": "270-883-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 WESTPORT RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012923",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Emmanuel Way Ln",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "KY",
            "postal_code": "401765037",
            "country_code": "US",
            "telephone_number": "502-762-4865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W Lincoln Trail Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401602011",
            "country_code": "US",
            "telephone_number": "270-883-5547",
            "fax_number": "270-547-3739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KACEY",
        "middle_name": "M",
        "credential": "B.S., BCABA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "KY",
            "license": "289548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACEY",
            "last_name": "BLOOMFIELD",
            "middle_name": "M",
            "credential": "B.S., BCABA, LABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miller Chiropractic Center PLLC
• Angel Miller, APRN
• Ashley Miller, MSW
• Brian Miller
• Cherryl Miller, LCSW
• Lindsay Cherith Miller
• William Luke Milliner, CSW
• Stacy Mills-Blair
• Charles Bradley Mills, R.PH.
• Laura Beth Mills, APRN

• Assistant Behavior Analyst in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Assistant Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.