Individual provider Active NPI

Yemina E. Miranda de Bollinger I

  • Behavior Technician
  • Fresno, CA
National Provider Identifier
1447116272
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9360 N Blackstone Ave SPC 129
Fresno, CA 93720-1111
Phone
(559) 224-9078
NPI assigned
Dec 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

9360 N Blackstone Ave SPC 129
Fresno, CA 93720-1111

Mailing address

9360 N Blackstone Ave SPC 129
Fresno, CA 93720-1111
Phone (559) 224-9078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1447116272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 N BLACKSTONE AVE SPC 129",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201111",
            "telephone_number": "559-224-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 N BLACKSTONE AVE SPC 129",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201111",
            "telephone_number": "559-224-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA DE BOLLINGER",
        "first_name": "YEMINA",
        "middle_name": "E.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.