Polly Ann McMillan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37619 Issued in FL

Practice address

130 Heights Ave
Inverness, FL 34452-4571

Phone

(352) 419-6570

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1770103590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 W BAGHDAD ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344336512",
            "telephone_number": "352-445-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HEIGHTS AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524571",
            "telephone_number": "352-419-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "POLLY",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-37619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Alexander McGaughey, DNP APRN
• Cameron McGeoch
• Eileen McGlynn
• Danny Joe McLaughlin, RPA-C
• Lydia Dolores McLaurin, RN
• Jennifer Nicole McMurray, PTA
• Medical Risk Solutions LLC
• Michael Karl Medina, MD
• Meena R Nathan MD PA
• Toribio Mercedes Encarnacion, MD

• Behavior Analyst in Inverness, FL
• Providers in Inverness, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.