=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205609641
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MIRANDA POSADAS RBHT, MHRS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2023
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 590 ANTELOPE BLVD STE 40A
-----------------------------------------------------
City | RED BLUFF
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96080-2477
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-529-9454
-----------------------------------------------------
Fax | 530-529-9456
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 950
-----------------------------------------------------
City | RED BLUFF
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96080-0950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-529-9454
-----------------------------------------------------
Fax | 530-529-9456
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 373H00000X
-----------------------------------------------------
Taxonomy Name | Day Training/Habilitation Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------