Miranda Sophia Demetor, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2127 W Orangewood Ave Ste B
Orange, CA 92868-1978

Phone

(714) 710-3040

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• California Institute of Behavior Analysis

  • Early Intervention Provider Agency
  • Orange, CA
  • NPI 1639316029
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1194584912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681978",
            "telephone_number": "714-710-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681978",
            "telephone_number": "714-710-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETOR",
        "first_name": "MIRANDA",
        "middle_name": "SOPHIA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Lourdes S Delrosario
• Andres Deluna, MD
• Yamonie T. Demarrco
• Marissa Dembek, PA-C, CAQ-PSYCH
• Jeffrey Marc Dembner, MD
• Michael Demetriou, MD
• Matthew John Demoss, D.C.
• Kaitlin Dempsey, DNP, CRNA, RN
• Pam C Dempsey, MS
• Tyler R Dempster, MS CCC/SLP

• Behavior Technician in Orange, CA
• Providers in Orange, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.