Individual provider Active NPI

Diane Rico Miles, BCBA

  • Behavior Analyst
  • Snellville, GA
National Provider Identifier
1699972299
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA000148 Issued in GA
Practice address
3484 Lachlan Dr
Snellville, GA 30078-6001
Phone
(404) 407-5224
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7715 GA
Behavior Analyst 103K00000X LBA000148 GA Primary

Addresses

Primary practice location

3484 Lachlan Dr
Snellville, GA 30078-6001

Mailing address

6722 N Algonquin Ave
Chicago, IL 60646-2807
Phone (312) 884-9151

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

State licenses

LicenseStateTypeSpecialty
LBA000148GAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Regional Behavioral Services Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients

Locations

3993 Lawrenceville Hwy NW
Ste 110
Lilburn, GA 30047
Phone (404) 407-5224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1699972299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 N ALGONQUIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462807",
            "telephone_number": "312-884-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 LACHLAN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786001",
            "telephone_number": "404-407-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICO MILES",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-10-7715",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA000148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.