DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MIRANDA LEANN GILLETTE BCBA

MEDICARE: MIRANDA LEANN GILLETTE BCBA
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
1103K00000XBehavior Analyst1-15-18087CA

General Provider Information

NPI Number : 1659752780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA LEANN GILLETTE BCBA
Provider Business Mailing Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number : 442-999-5740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 04/22/2019

Similar Medicare Providers

1104664267 — CHRISTIAN RENE RUIZ-BETANCOURTH
Practice Location Address:
562 W GRAND AVE
ESCONDIDO, CA
92025-2502
Practice Phone: 760-691-9622
Practice Fax:
1851782296 — LISA NAKANO KWON BCBA
Practice Location Address:
562 W GRAND AVE
ESCONDIDO, CA
92025-2502
Practice Phone: 760-691-9622
Practice Fax:
1205370806 — AVID ABA SERVICES
Practice Location Address:
562 W GRAND AVE
ESCONDIDO, CA
92025-2502
Practice Phone: 760-691-9622
Practice Fax: 760-797-1845
1740798883 — MRS. ANNIE K ANGEL
Practice Location Address:
562 W GRAND AVE
ESCONDIDO, CA
92025-2502
Practice Phone: 760-691-9622
Practice Fax: 442-999-5740
1649788787 — SARAI MARCELIN MA
Practice Location Address:
562 W GRAND AVE
ESCONDIDO, CA
92025-2502
Practice Phone: 760-691-9622
Practice Fax: 442-999-5740
1548748403 — REBECCA ANESHANSLEY
Practice Location Address:
562 W GRAND AVE
ESCONDIDO, CA
92025-2502
Practice Phone: 760-691-9622
Practice Fax: 760-797-1845

Directions to “ MIRANDA LEANN GILLETTE BCBA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.