Active NPI
Sherriel Latrice Miller
- Behavior Analyst
- Plano, TX
National Provider Identifier
1972896199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 5265
- Practice address
- 5085 W Park Blvd Ste 400
Plano, TX 75093-2592 - Phone
- (469) 277-6050
- NPI assigned
- May 20, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Speech-Language Assistant | 2355S0801X | 34360 | TX | |
| Behavior Analyst | 103K00000X | 5265 | TX | Primary |
Addresses
Primary practice location
5085 W Park Blvd Ste 400
Plano, TX 75093-2592
Mailing address
2970 Hudson Blvd Apt 202
The Colony, TX 75056-4771
Phone (832) 495-3095
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5265 | TX | MD | Behavioral Analyst |
| 34360 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1972896199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 HUDSON BLVD APT 202",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750564771",
"telephone_number": "832-495-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5085 W PARK BLVD STE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750932592",
"telephone_number": "469-277-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHERRIEL",
"middle_name": "LATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "34360",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.