Active NPI
Candace Ophelia Miller, BCBA, LBA
- Behavior Analyst
- Manchester, NH
National Provider Identifier
1770091548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 628
- Practice address
- 373 S Willow St # 266
Manchester, NH 03103-5751 - Phone
- (877) 315-8080
- NPI assigned
- Jan 16, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 0133002234 | VA | |
| Behavior Technician | 106S00000X | RBT-17-39444 | VA | |
| Behavior Analyst | 103K00000X | 628 | NC | Primary |
Addresses
Primary practice location
373 S Willow St # 266
Manchester, NH 03103-5751
Mailing address
5 Fairchild CT
Hampton, VA 23666-6028
Phone (757) 532-1946
Other practice location 1
125 Baldwin Ave
Charlotte, NC 28204-3364
Phone (980) 423-1210
Other practice location 2
125 St Andrews
Smithfield, VA 23430-7169
Phone (413) 563-3863
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0133002234 | VA | MD | Behavioral Analyst |
| RBT-17-39444 | VA | MD | Behavior Technician |
| 628 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Behavioral Consulting, PLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Smithfield, VA
- NPI 1053839340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1770091548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FAIRCHILD CT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666028",
"telephone_number": "757-532-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S WILLOW ST # 266",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035751",
"telephone_number": "877-315-8080"
}
],
"practiceLocations": [
{
"address_1": "125 Baldwin Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043364",
"country_code": "US",
"telephone_number": "980-423-1210",
"fax_number": "980-938-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 St Andrews",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "VA",
"postal_code": "234307169",
"country_code": "US",
"telephone_number": "413-563-3863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "CANDACE",
"middle_name": "OPHELIA",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002234",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-17-39444",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.