Active NPI
Simone Taline Miranda, RBT
- Behavior Technician
- Rowland Heights, CA
National Provider Identifier
1740941350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-196899
- Practice address
- 17462 Colima Rd
Rowland Heights, CA 91748-1633 - Phone
- (855) 223-7123
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | RBT-21-196899 | NV | Primary |
Addresses
Primary practice location
17462 Colima Rd
Rowland Heights, CA 91748-1633
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other practice location 1
5765 S Rainbow Blvd # 112
Las Vegas, NV 89118-2536
Phone (702) 547-6971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-21-196899 | Other | NV | BACB |
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-21-196899 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Settle Down ABA Inc | Behavior Technician | Past | Accepting new patients |
| Settle Down ABA Inc | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1740941350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17462 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481633",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [
{
"address_1": "5765 S Rainbow Blvd # 112",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891182536",
"country_code": "US",
"telephone_number": "702-547-6971",
"fax_number": "702-547-6948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "SIMONE",
"middle_name": "TALINE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-21-196899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-21-196899",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.