Miranda Nicole Haskins

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60766761 Issued in WA

Practice address

22610 62ND Ave W
Mountlake Terrace, WA 98043-2510

Phone

(360) 301-0490

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinpoint Behavioral Services

  • Behavior Analyst
  • Mountlake Terrace, WA
  • NPI 1629792874
  NPD Authorized official
• Holly Ridge Center

  • Pediatric Physical Therapist
  • Bremerton, WA
  • NPI 1861549206
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1780093880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22610 62ND AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432510",
            "telephone_number": "360-301-0490",
            "fax_number": "360-373-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22610 62ND AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432510",
            "telephone_number": "360-301-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 NW Taylor Rd.",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "98312",
            "country_code": "US",
            "telephone_number": "360-373-2536",
            "fax_number": "360-373-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60766761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Harrison, LMHC
• Palesteen Vanell Hart, MA60335498
• Kevin Hartley
• Kathyh Harvey, MS RDN CSR
• Scott Hiroshi Hashimoto, OT
• Fatuma Hassan
• Rukiya Hassan
• Erik Jakob Haugen, DPT
• Shonyah Hawkins Cottman
• Emily Haymond

• Behavior Analyst in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.