Active NPI
Joanna Marie Miranda
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1528715976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-196764
- Practice address
- 7125 Grand Montecito Pkwy Ste 130
Las Vegas, NV 89149-0261 - Phone
- (702) 396-0101
- NPI assigned
- Mar 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-196764 | NV | Primary |
Addresses
Primary practice location
7125 Grand Montecito Pkwy Ste 130
Las Vegas, NV 89149-0261
Mailing address
8036 Peaceful Woods St
Las Vegas, NV 89143-5195
Phone (725) 666-3541
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-196764 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1528715976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8036 PEACEFUL WOODS ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891435195",
"telephone_number": "725-666-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 GRAND MONTECITO PKWY STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891490261",
"telephone_number": "702-396-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JOANNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-21-196764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.