Individual provider Active NPI

Candace Ophelia Miller, BCBA, LBA

  • Behavior Analyst
  • Manchester, NH
National Provider Identifier
1770091548
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
628 Issued in NC
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

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0133002234VAMDBehavioral Analyst
RBT-17-39444VAMDBehavior Technician
628NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Behavioral Consulting, PLC Behavior Analyst PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.