Active NPI
Miranda Law, M. ED., LBS
- Behavior Analyst
- Philadelphia, PA
National Provider Identifier
1023839198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH007354
- Practice address
- 9601 Bustleton Ave Ste a
Philadelphia, PA 19115-3810 - Phone
- (856) 346-0005
- NPI assigned
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH007354 | PA | Primary |
Addresses
Primary practice location
9601 Bustleton Ave Ste a
Philadelphia, PA 19115-3810
Mailing address
2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH007354 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNNH Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- King of Prussia, PA
- NPI 1750845327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1023839198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 VOORHEES TOWN CTR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 BUSTLETON AVE STE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153810",
"telephone_number": "856-346-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "MIRANDA",
"credential": "M. ED., LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH007354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.