Miranda Alysse Boheme

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA23183 Issued in FL

Practice address

1499 W Palmetto Park Rd Ste 212
Boca Raton, FL 33486-3322

Phone

(561) 479-8307

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Nisha Bhatt Inc.

  dba Little Champs Therapy & Yoga

  • Behavior Analyst
  • Boca Raton, FL
  • NPI 1710436845

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1922815117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863322",
            "telephone_number": "561-494-4499",
            "fax_number": "561-705-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863322",
            "telephone_number": "561-479-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHEME",
        "first_name": "MIRANDA",
        "middle_name": "ALYSSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Kneads Medical Inc
• James Boellner, CSFA
• Irene Boginsky, DO
• David Parker Bogue, M.D.
• Rochelle Boguslavskiy, DO
• Timothy Bohl
• Evelyn R Bohm, EDD ARNP LCSW
• Paige Bohner
• Anastasiya Boikova, OTR
• Reid Boland, LMHC

• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.