Individual provider Active NPI

Melissa Marie Miller, RBT

  • Behavior Technician
  • Port Orange, FL
National Provider Identifier
1831788710
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-151679 Issued in FL
Practice address
4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001
Phone
(386) 767-3752
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-151679 FL Primary

Addresses

Primary practice location

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001

Mailing address

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001
Phone (386) 767-3752

Other identifiers 1

IdentifierTypeStateIssuer
106S00000XMedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@strategiesincaba.com Health Information Exchange (HIE)

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
RBT-21-151679FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategies, Inc. Behavior Analysis & Therapeutic Services Behavior Technician PastSince Jul 1, 2021 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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1831788710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 CLYDE MORRIS BLVD UNIT 501",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293001",
            "telephone_number": "386-767-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 CLYDE MORRIS BLVD UNIT 501",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293001",
            "telephone_number": "386-767-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-151679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@strategiesincaba.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4647 Clyde Morris Blvd Unit 501",
            "city": "Port Orange",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321293001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.