Individual provider Active NPI

Melodie Cobb-Miller, BCBA LBA

  • Behavior Analyst
  • Havre de Grace, MD
National Provider Identifier
1831885714
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA2339 Issued in MD
Practice address
1106 Revolution St
Havre de Grace, MD 21078-3721
Phone
(443) 206-8669
NPI assigned
Apr 13, 2023
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA2339 MD Primary

Addresses

Primary practice location

1106 Revolution St
Havre de Grace, MD 21078-3721

Mailing address

512 North St
Elkton, MD 21921-5600
Phone (540) 398-0017

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
LBA2339MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Alternatives for Learning Behavior Analyst CurrentSince Sep 21, 2025 Accepting new patients

Locations

1106 Revolution St
Hvre de Grace, MD 21078
Phone (410) 776-4640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1831885714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NORTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215600",
            "telephone_number": "540-398-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783721",
            "telephone_number": "443-206-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB-MILLER",
        "first_name": "MELODIE",
        "name_prefix": "Ms.",
        "credential": "BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA2339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.