Mia Angela Okamoto, M.S.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB372691 Issued in CA

Practice address

3170 De la Cruz Blvd Ste 107
Santa Clara, CA 95054-2411

Phone

(669) 253-5439

NPI assigned

Aug 4, 2014

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1255740213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MOUNTAIN ASH TER UNIT 1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865170",
            "telephone_number": "650-270-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 DE LA CRUZ BLVD STE 107",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542411",
            "telephone_number": "669-253-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 N Pershing Ave",
            "address_2": "Ste. C-1",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075451",
            "country_code": "US",
            "telephone_number": "209-476-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "MIA ANGELA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BACB372691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Israel Ogutu
• Richard J. Oh, MD
• Somi Oh, O.D.
• Han S Ohm, L.AC., O.M.D.
• Naoko Ohtsuki
• Rachel Okazaki, PT
• Chinenye Okukpon, M.D
• Christopher Oliva
• Justin Matthew Olivas, MD
• Lisa Oliver, PH.D.

• Behavior Analyst in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.