Miranda Kaylin Busch

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

19260 SW 65TH Ave the Children' S Clinic
Suite 340
Tualatin, OR 97062

Phone

(503) 691-9777

Fax

(503) 692-6736

NPI assigned

Oct 1, 2018

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1699250092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 340",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-691-9777",
            "fax_number": "503-692-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE THE CHILDREN' S CLINIC",
            "address_2": "SUITE 340",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-691-9777",
            "fax_number": "503-692-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "MIRANDA",
        "middle_name": "KAYLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Bryson, PT
• Rani Bui, PA
• Jacob Douglas Burgis, RPH
• Gary A Burgoine, MD
• Ricky R Burk, OD
• John Alan Butler, M.D.
• Cynthia Page Buxton, N.D., LAC
• Wynter Byrnes, LA.C, LMT
• C. Edward Skeeters,M.D. & Michael P. Gardner,M.D.
• Mark Patrick Cahill, MD

• Behavior Analyst in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.