Active NPI
Jocelyn Miller, BCBA, LABA
- Behavior Analyst
- Wakefield, MA
National Provider Identifier
1982039939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 865
- Practice address
- 301 Edgewater PL Ste 100
Wakefield, MA 01880-1281 - Phone
- (617) 763-8351
- NPI assigned
- Sep 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 865 | MA | Primary |
Addresses
Primary practice location
301 Edgewater PL Ste 100
Wakefield, MA 01880-1281
Mailing address
301 Edgewater PL Ste 100
Wakefield, MA 01880-1281
Phone (617) 763-8351
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 |
|---|---|---|---|
| 865 | MA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1982039939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 EDGEWATER PL STE 100",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801281",
"telephone_number": "617-763-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 EDGEWATER PL STE 100",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801281",
"telephone_number": "617-763-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOCELYN",
"credential": "BCBA, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
- Melrose-Wakefield Psychiatric Associates PLLC (Melrose-Wakefield Psych Associates)
- Melrose-Wakefield Psychiatric Associates, PLLC (Melrose-Wakefield Psych)
- Justin Menla
- Courtney A Merritt, M.S., BCBA, LABA
- Patricia J Mian, RN, APN-BC
- Talia Miller
- Jean Catherine Mills, LICSW, M.ED, CAGS
- Di'Aja Claudia Milton
- Naw Rose Min
- Mind Over Matterx (Mind Over Matter Psychiatry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.