Charmaine C Mislang

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12626 Riverside Dr Ste 409
Valley Village, CA 91607-3451

Phone

(818) 661-6306

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charmaine Mariz C Mislang Other name

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.

• Tiny Steps Developmental Services, a Psychological Corporation

  • Clinical Psychologist
  • Valley Village, CA
  • NPI 1871941716
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1003373986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 409",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073451",
            "telephone_number": "818-661-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 409",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073451",
            "telephone_number": "818-661-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISLANG",
        "first_name": "CHARMAINE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAINE MARIZ",
            "last_name": "MISLANG",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Technician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.