Hanna Miranda

Individual provider Active NPI Behavior Technician · Henderson, NV

NPI 1174413611 · NPPES record last updated Jul 7, 2025

Key facts

NPI
1174413611
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1701 N Green Valley Pkwy Ste 9B
Henderson, NV 89074-5991
Phone
(725) 444-3803
Fax
(702) 441-0356
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1701 N Green Valley Pkwy Ste 9B
Henderson, NV 89074-5991

Mailing address

1701 N Green Valley Pkwy Ste 9B
Henderson, NV 89074-5991
Phone (725) 444-3803

Other providers in Henderson, NV

All providers in Henderson, NV · Behavior Technician in Nevada

Sources for this page

Verify at the official NPI Registry.