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NPI Code Detail

MEDICARE: CECILIA MIRANDA

MEDICARE: CECILIA MIRANDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1477484665
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA MIRANDA
Provider Business Mailing Address
First Line : 1200 CONCORD AVE STE 185
Second Line :
City : CONCORD
State : CA
Zip : 94520-5006
Country : US
Telephone Number : 866-273-2451
Fax Number : 866-273-2451
Provider Business Practice Location Address
First Line : 1200 CONCORD AVE STE 185
Second Line :
City : CONCORD
State : CA
Zip : 94520-5006
Country : US
Telephone Number : 866-273-2451
Fax Number : 866-273-2451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ CECILIA MIRANDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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