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Miranda Jane Chick-Lamb , BCBA

Behavior Analyst β€’ Mount Laurel, NJ

Active NPI 1336527738 Individual Practitioner Female Practitioner
Practice location in NPPES

15000 Commerce Pkwy Ste C
Mount Laurel, NJ 080542212

Call 8556475888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15000 Commerce Pkwy Ste C

Mount Laurel, NJ 080542212

Telephone 8556475888

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mount Laurel and New Jersey

124 active clinicians are listed under Behavior Analyst with a practice address in Mount Laurel, NJ (3,769 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mount Laurel

0% of these 124 clinicians have the CMS telehealth indicator.

0% of these 124 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NJ 1-23-67837

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1396169579 (NJ)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 29, 2024

Registered at 15000 COMMERCE PKWY STE C, MOUNT LAUREL, NJ 080542212 (Tel: 8556475888)

πŸ“
Updated Business Mailing Address November 29, 2024

Registered at 542 AMHERST ST, NASHUA, NH 030631016 (Tel: 5613236593)

πŸ‘€
Provider Name / Credentials Updated November 29, 2024

Recorded as MIRANDA CHICK-LAMB, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2024

Behavior Analyst (license number reported to NPPES: NJ 1-23-67837)

βœ…
NPI Profile Active November 02, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 02, 2015

Registered at 280 JACKSON RD, ATCO, NJ 080041645 (Tel: 8567571779)

πŸ“
Business Mailing Address (Initial Record) November 02, 2015

Registered at 280 JACKSON RD, ATCO, NJ 080041645 (Tel: 8567571779)

πŸ‘€
Provider Name / Credentials (Initial Record) November 02, 2015

Recorded as MIRANDA KOHLER, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2015

Behavior Analyst (license number reported to NPPES: NJ 1-15-19897)

🟒
Initial NPI Registration & Enumeration May 18, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336527738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2015
Last Update: November 29, 2024
Sole Proprietor: No

Mailing Address

542 Amherst St

Nashua, NH 030631016

Phone: 5613236593

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.