Miranda Penaloza Martin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48339 Issued in CA

Practice address

253 N San Gabriel Blvd Ste a
Pasadena, CA 91107-3429

Phone

(818) 844-3376

NPI assigned

Aug 24, 2020

Last updated

Jun 27, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arcc Center ABA LLC

  • Behavior Analyst
  • San Diego, CA
  • NPI 1104691906
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1326651993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 SEAMAN AVE APT 7",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 N SAN GABRIEL BLVD STE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073429",
            "telephone_number": "818-844-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOZA MARTIN",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-48339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Pena
• Maria Victoria Pena, NP
• Mariah Pena
• Priscilla Pena
• Vanessa Pena
• Kevin H Penate Escobar
• Mirna Christina Penate, IMFT
• Lynda Rattanacommon Peng, PT
• Penguin Medical Group, Inc
• Markesiha Penn-Kaai, MA, BCBA

• Behavior Analyst in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.