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Miranda Renee Illius , BCBA

Behavior Analyst β€’ Avon, OH

Active NPI 1760977342 Individual Practitioner Female Practitioner
Practice location in NPPES

38530 Chester Rd Ste 100
Avon, OH 440114048

Call 2162821234 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

38530 Chester Rd Ste 100

Avon, OH 440114048

Telephone 2162821234
Organization at the Same NPPES Address or Phone
Christopher A Connors Dmd Ms Llc Facility NPI 1326913229

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

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 Avon and Ohio

8 active clinicians are listed under Behavior Analyst with a practice address in Avon, OH (1,659 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

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: 2022-11-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES OH 1-18-30479

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: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Business Mailing Address November 21, 2022

Registered at 27991 CENTER RIDGE RD, WESTLAKE, OH 441453902 (Tel: 4404553230)

πŸ‘€
Provider Name / Credentials Updated November 21, 2022

Recorded as MIRANDA ILLIUS, BCBA

βœ…
NPI Profile Active June 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 26, 2018

Registered at 38530 CHESTER RD STE 100, AVON, OH 440114048 (Tel: 2162821234)

πŸ“
Business Mailing Address (Initial Record) June 26, 2018

Registered at 38530 CHESTER RD STE 100, AVON, OH 440114048 (Tel: 2162821234)

πŸ‘€
Provider Name / Credentials (Initial Record) June 26, 2018

Recorded as MIRANDA LOWRY, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Behavior Analyst (license number reported to NPPES: OH 1-18-30479)

🟒
Initial NPI Registration & Enumeration June 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760977342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2018
Last Update: November 21, 2022
Sole Proprietor: No

Mailing Address

27991 Center Ridge Rd

Westlake, OH 441453902

Phone: 4404553230

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.