Ethan Jon Miles

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

7441 114TH Ave Ste 604
Largo, FL 33773-5124

Phone

(727) 492-5369

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cayer Behavioral Group

  • Behavior Analyst
  • Tallahassee, FL
  • NPI 1477936003
  NPD (past)
• Cayer Behavioral Group, Inc

  • Behavior Analyst
  • Tallahassee, FL
  • NPI 1225362056
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1992235931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 114TH AVE STE 604",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735124",
            "telephone_number": "727-492-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 114TH AVE STE 604",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735124",
            "telephone_number": "727-492-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Hillbrooke Trl Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323117902",
            "country_code": "US",
            "telephone_number": "850-299-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "ETHAN",
        "middle_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid County Dental Associates
• Mid Pinellas Primary Care, PL
• George Mikhail, MD
• Paul M. Mikus II, M.D.
• Jeffrey Zack Mildrum, MD
• Mariya Milko
• Betty Hirsch Miller, R.PH.
• Madison Miller, PA-C
• Rebecca Miller, D.O.
• Sandra Miller

• Behavior Analyst in Largo, FL
• Providers in Largo, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.