Individual provider Active NPI

Miller Abernathy, RBT

  • Behavior Technician
  • Anderson, IN
National Provider Identifier
1841007804
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-257091 Issued in IN
Practice address
550 W 37TH St Ste a
Anderson, IN 46013-4004
Phone
(888) 454-3324
Fax
(888) 616-1634
NPI assigned
Dec 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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-23-257091 IN Primary

Addresses

Primary practice location

550 W 37TH St Ste a
Anderson, IN 46013-4004

Mailing address

550 W 37TH St Ste a
Anderson, IN 46013-4004
Phone (888) 454-3324

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-23-257091INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Lives Behavior Analysis Services Inc CurrentSince Dec 15, 2024 Accepting new patients

Locations

550 W 37th St
Ste A
Anderson, IN 46013
Phone (888) 454-3324

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": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1841007804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 37TH ST STE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134004",
            "telephone_number": "888-454-3324",
            "fax_number": "888-616-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 37TH ST STE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134004",
            "telephone_number": "888-454-3324",
            "fax_number": "888-616-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "MILLER",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-23-257091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.