Brandon Miranda
Individual provider Active NPI Behavior Technician · Burlington, KY
NPI 1205534856 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1205534856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 22-241828 (KY)
- Practice address
- 1808 Bordeaux Blvd Apt V
Burlington, KY 41005-8569 - Phone
- (571) 340-1893
- NPI assigned
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-241828 | KY | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-241828 | KY | Yes |
Addresses
Primary practice location
1808 Bordeaux Blvd Apt V
Burlington, KY 41005-8569
Mailing address
1808 Bordeaux Blvd Apt V
Burlington, KY 41005-8569
Other providers in Burlington, KY
- Jack R Mercke
- Satoshia R Meyer
- Hannah Marie Miller
- Kristen Nicole Marsh Miller
- Kathy Mills
- Steven Joseph Mueller
- Haley Char Niederman
- Nky Early Intervention
- Jessica Noble
- Connor O'Gara
All providers in Burlington, KY · Behavior Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.