Miranda Elizabeth Faye Chipps

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1987263

Practice address

5804 Boat Club Road
Saginaw, TX 76179

Phone

(817) 310-8789

NPI assigned

Oct 11, 2019

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1750923645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SILVERBROOK DR",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761790937",
            "telephone_number": "940-452-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 BOAT CLUB ROAD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "76179",
            "telephone_number": "817-310-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPPS",
        "first_name": "MIRANDA",
        "middle_name": "ELIZABETH FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "1987263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.