Active NPI
Madison Miranda
- Behavior Analyst
- Huntingdon Valley, PA
National Provider Identifier
1144083239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH006947
- Practice address
- 1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526 - Phone
- (267) 388-0670
- Fax
- (215) 344-7087
- NPI assigned
- Feb 1, 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 | BH006947 | PA | Primary |
Addresses
Primary practice location
1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526
Mailing address
1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526
Phone (267) 388-0670
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH006947 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Child & Family Services | Behavior Analyst | Current | Accepting new patients |
Locations
1800 Byberry Rd
Ste 1404
Huntingdon Valley, PA 19006
Phone (215) 344-7979
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
- Huntingdon Valley, PA
- NPI 1922547900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1144083239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BYBERRY RD STE 1404",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063526",
"telephone_number": "267-388-0670",
"fax_number": "215-344-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BYBERRY RD STE 1404",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063526",
"telephone_number": "267-388-0670",
"fax_number": "215-344-7087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH006947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.