Individual provider Active NPI

Analis Maria Moron Miranda, BCBA

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1932688330
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30502 Issued in CA
Practice address
11022 Santa Monica Blvd Ste 120
Los Angeles, CA 90025-7566
Phone
(626) 755-0089
NPI assigned
Aug 7, 2018
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-30502 CA Primary

Addresses

Primary practice location

11022 Santa Monica Blvd Ste 120
Los Angeles, CA 90025-7566

Mailing address

9224 Brookshire Ave Apt 12
Downey, CA 90240-2951
Phone (562) 746-0146

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

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1932688330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 BROOKSHIRE AVE APT 12",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402951",
            "telephone_number": "562-746-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257566",
            "telephone_number": "626-755-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORON MIRANDA",
        "first_name": "ANALIS",
        "middle_name": "MARIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.