Individual provider Active NPI

Dina Estela Miranda Henriquez

  • Behavior Technician
  • Oceanside, CA
National Provider Identifier
1609656024
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3784 Mission Ave Ste 148-1085
Oceanside, CA 92058-1460
Phone
(540) 383-7133
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 Primary

Addresses

Primary practice location

3784 Mission Ave Ste 148-1085
Oceanside, CA 92058-1460

Mailing address

3784 Mission Ave Ste 148-1085
Oceanside, CA 92058-1460
Phone (540) 383-7133

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1609656024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 MISSION AVE STE 148-1085",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581460",
            "telephone_number": "540-383-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 MISSION AVE STE 148-1085",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581460",
            "telephone_number": "540-383-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA HENRIQUEZ",
        "first_name": "DINA",
        "middle_name": "ESTELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.