Miranda Nicole Maguire, B.S., RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

87009 Professional Way
Yulee, FL 32097-3400

Phone

(904) 544-5276

NPI assigned

Sep 27, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Victorious Learning, LLC

  • Behavior Analyst
  • Yulee, FL
  • NPI 1427460161
  NPD
• Applied Behavioral Strategies, LLC

  • Behavior Analyst
  • Fairfield, CT
  • NPI 1396048583
  NPD (past)

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1437873254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87009 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-544-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87009 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-544-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "credential": "B.S., RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Catalyst",
            "affiliation": "N",
            "address_1": "87009 Professional Way",
            "city": "Yulee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320973400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joel R Lopes Jr., MD
• Loving Hands Support Service LLC
• Lyerly Baptist Inc
• Delesia N Mack, RBT
• Dorothy Ann Mack
• Cole K Mann
• Helen M Manning
• Lisa Marben, LMHC
• Mikayla Marell
• Carlitta Martin, RBT

• Behavior Technician in Yulee, FL
• Providers in Yulee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.