ALICIA MILLER (NPI# 1568906048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568906048 |
| Entity Type | Individual |
| Full Name | ALICIA MILLER |
| Credential | QASP |
| Practice Address |
10175 Fortune Pkwy Suite 903 Jacksonville FL 32256-6746 |
| Mailing Address |
6816 Southpoint Pkwy Bldg 500 Jacksonville FL 32216-1700 |
| Practice Telephone | 9045380713 |
| Practice Fax Number | 9045380714 |
| Mailing Telephone | 9045380713 |
| Mailing Fax Number | 9045380714 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896915 | Alicia Ann Marie Miller | Licensed Practical Nurse | 100 Carver Loop Apt 2e, Bronx, NY 10475-2945 | 2019-11-20 |
| 1477023109 | Alicia Miller | Respiratory Therapist, Registered | 2023 Sand Point Rd, Discovery Bay, CA 94505-9400 | 2018-11-26 |
| 1285116012 | Alicia Miller | Licensed Vocational Nurse | 1104 Curtis Dr Apt A, Weatherford, TX 76086-5657 | 2018-08-29 |
| 1760614846 | Alicia Miller | Psychologist | 35900 N Charbray Dr, Queen Creek, AZ 85243-5109 | 2009-08-21 |
| 1811545148 | Alicia Monique Miller | Chore Provider | 1840 E Calvada Blvd Ste 9, Pahrump, NV 89048-5843 | 2019-08-29 |
| 1386143436 | Alicia Miller | Social Worker | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2018-02-05 |
| 1346793619 | Alicia Miller | Social Worker | 669 S Haywood St, Waynesville, NC 28786 | 2016-08-03 |
| 1811374051 | Alicia Miller | Behavioral Analyst | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2015-04-27 |
| 1699167718 | Alicia Miller | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2015-02-26 |
| 1942544234 | Alicia Miller | Speech-Language Pathologist | 3 Ramsgate Ct, Blue Bell, PA 19422-2544 | 2012-11-27 |
| Street Address |
10175 FORTUNE PKWY SUITE 903 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730100587 | Mohammad Farooque | Psychiatry & Neurology | 10175 Fortune Pkwy, Suite #1106, Jacksonville, FL 32256-6746 | 2006-07-21 |
| 1902430614 | Delana Dampier | Technician | 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 | 2020-03-03 |
| 1336780907 | Sunshine Medical Specialists, LLC | Pediatrics | 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 | 2019-10-03 |
| 1376079905 | Ashley Raynor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-05-02 |
| 1952834434 | Mollie Gibson | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-11 |
| 1720511728 | Desiree Adams | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-06 |
| 1538691555 | Meghan Rhegness | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-03-29 |
| 1417491036 | Mary Moore | Behavioral Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-16 |
| 1720522352 | Lavyn Taylor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-16 |
| 1730623356 | Juana Rivera | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319210 | Elizabeth Mack | Assistant Behavior Analyst | 7929 Eaton Ave, Jacksonville, FL 32211-7848 | 2019-11-06 |
| 1093259095 | Sherri Stinson | Assistant Behavior Analyst | 3011d John Paul Jones Ct, Jacksonville, FL 32221-2406 | 2016-12-09 |
| 1275175408 | Ernisha M Sistrunk | Assistant Behavior Analyst | 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701 | 2019-10-09 |
| 1578066478 | Ryan Moore | Assistant Behavior Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-03-16 |
| 1376079905 | Ashley Raynor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-05-02 |
| 1497280945 | Thomas Ulwelling | Assistant Behavior Analyst | 9000 Cypress Green Dr, Jacksonville, FL 32256-7791 | 2017-04-21 |
| 1952834434 | Mollie Gibson | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-11 |
| 1720511728 | Desiree Adams | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-06 |
| 1538691555 | Meghan Rhegness | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-03-29 |
| 1720522352 | Lavyn Taylor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.