Active NPI
Rachel Mae Miller, MA, BCBA, LLP
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1891954665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1300 Airport North Office Park
Fort Wayne, IN 46825-6716 - Phone
- (260) 471-9263
- Fax
- (260) 471-9264
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013451 | MI | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1300 Airport North Office Park
Fort Wayne, IN 46825-6716
Mailing address
700 E Firmin Street
Suite 209
Kokomo, IN 46902-2375
Phone (765) 454-9748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-05-2440 | Other | BCBA CERTIFICATE |
Other names 1
- Rachel Skinner
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013451 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Behavioral Consulting LLC | Behavior Analyst | Current | Accepting new patients |
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- West Bloomfield, MI
- NPI 1225800550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1891954665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E FIRMIN STREET",
"address_2": "SUITE 209",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469022375",
"telephone_number": "765-454-9748",
"fax_number": "765-450-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 AIRPORT NORTH OFFICE PARK",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256716",
"telephone_number": "260-471-9263",
"fax_number": "260-471-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RACHEL",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "MA, BCBA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013451",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-05-2440",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "SKINNER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.