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NPI Code Detail

MEDICARE: MIRANDA SIDERS

MEDICARE: MIRANDA SIDERS
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 Analyst

General Provider Information

NPI Number : 1437637089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA SIDERS
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 505 S 3RD ST
Second Line :
City : ELKHART
State : IN
Zip : 46516-3252
Country : US
Telephone Number : 574-359-6796
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2018
Last Update Date : 06/29/2026

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Directions to “ MIRANDA SIDERS ” Practice Location

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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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