Miranda, Lazaro R
Miranda, Lazaro R is an sole proprietor health care provider with primary practice located at 1471 Nw 10Th St , Homestead FL 33030. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Miranda, Lazaro R can be contacted via phone (786) 571-3231.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 55023 | Florida |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1588911648 |
|---|---|
| LBN Legal business name | Miranda, Lazaro R |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2012 |
| Last updated | Mar 30th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588911648 | NPPES |
| Other | 0-21-13273 | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| Other | CBHCMS100704 | BEHAVIOR ANALYST CERTIFICATION BOARD |
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