Alexis Miranda

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10 Dorrance St
Providence, RI 02903-2018

Phone

(877) 418-2978

NPI assigned

Nov 8, 2024

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

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1447074208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CAMPION AVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782516",
            "telephone_number": "774-994-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032018",
            "telephone_number": "877-418-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Minor, CPD
• Scarlet Minor
• Kimberly Minton, LCSW
• Chrystal May Mintz, LADC-II, LCDP
• Elizabeth Noreen Mintzes, NP
• Isabel A Miranda, LMHC-A
• Robert Miranda Jr., PH.D.
• Kevin Mirandou, FNP-CP
• Sheva Mirdamadi- Tehrani, NP
• Miriam Cardiology, Inc.

• Behavior Technician in Providence, RI
• Providers in Providence, RI by specialty
• Behavior Technician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.