Crystal Miller, MS, BCBA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2514 N Broad St
Phila, PA 19132-4013

Phone

(267) 971-0590

NPI assigned

May 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1699112722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 ELMHURST ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191493603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191324013",
            "telephone_number": "267-971-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Welsh Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442248",
            "country_code": "US",
            "telephone_number": "267-209-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CRYSTAL",
        "credential": "MS, BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasquale Mignano, DO
• Keshia Lynette Miles, LPN
• Jennifer Marie Millado, PA-C
• Millennium Chiropractic Center PC
• Lauren L Miller-Ford
• Seth Lee Miller, D.D.S.
• Yurika Miller, M.A.
• Mindful Minds Health & Wellness
• Margaret A Minehart, M.D.
• Michael A Minni, DO

• Behavior Analyst in Phila, PA
• Providers in Phila, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.