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 OTT

MEDICARE: MIRANDA OTT
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
1106E00000XAssistant Behavior AnalystRBT-24-373909CA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1487407284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA OTT
Provider Business Mailing Address
First Line : 4221 WILSHIRE BLVD STE 300A
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-3537
Country : US
Telephone Number : 888-428-3223
Fax Number : 323-866-1881
Provider Business Practice Location Address
First Line : 1651 RESPONSE RD STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-5255
Country : US
Telephone Number : 916-974-2599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 12/17/2025

Similar Medicare Providers

1821951492 — TIANA LAMAYA DIXON
Practice Location Address:
1651 RESPONSE RD STE 200
SACRAMENTO, CA
95815-5255
Practice Phone: 916-974-2599
Practice Fax:
1689371833 — ARLENE HOLMES
Practice Location Address:
1651 RESPONSE RD STE 200
SACRAMENTO, CA
95815-5255
Practice Phone: 916-518-3187
Practice Fax: 844-204-4971
1710940515 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:
1651 RESPONSE RD STE 200
SACRAMENTO, CA
95815-5255
Practice Phone: 916-974-9120
Practice Fax: 916-974-2588
1295946143 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:
1651 RESPONSE RD STE 200
SACRAMENTO, CA
95815-5255
Practice Phone: 916-488-8819
Practice Fax:
1144682766 — MAXIM HEALTHCARE SERVICES INC
Practice Location Address:
1651 RESPONSE RD STE 200
SACRAMENTO, CA
95815-5255
Practice Phone: 916-974-2599
Practice Fax:
1619444759 — YARELI JIMENEZ
Practice Location Address:
1651 RESPONSE RD STE 200
SACRAMENTO, CA
95815-5255
Practice Phone: 916-518-3187
Practice Fax:

Directions to “ MIRANDA OTT ” 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.