Antonella Stephanie Miranda

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6538 Netherseal Ave
Las Vegas, NV 89139-5352

Phone

(702) 338-0120

NPI assigned

Apr 28, 2021

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

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1366025397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 NETHERSEAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395352",
            "telephone_number": "702-338-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6538 NETHERSEAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395352",
            "telephone_number": "702-338-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ANTONELLA",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Antonia Miranda-Martinez
• Adelma Miranda
• Alexus Maurine Miranda, PA
• Amadai Miranda
• Angella Mae Maybituin Miranda
• Armanda Dawn Miranda, BS
• Beatriz Miranda
• Corazon Gatlabayan Miranda
• Cres P Miranda Jr., MD
• Cynthia Bibiana Miranda, LAT,ATC

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.