Lorene Liz Miranda, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-72164 Issued in FL

Practice address

7075 N Highway 1
Cocoa, FL 32927-5216

Phone

(321) 888-3020

NPI assigned

Dec 22, 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

State licenses

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1730651126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275216",
            "telephone_number": "321-888-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275216",
            "telephone_number": "321-888-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11476 S Apopka Vineland Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328367006",
            "country_code": "US",
            "telephone_number": "407-955-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Palm Coast Pkwy SW Ste 6",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321375700",
            "country_code": "US",
            "telephone_number": "386-951-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "LORENE",
        "middle_name": "LIZ",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-22",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-72164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.