Miranda, Thannya
Miranda, Thannya is an individual health care provider with primary practice located at 23701 Birtcher Dr , Lake Forest CA 92630-1772. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Miranda, Thannya can be contacted via phone (855) 581-0100.Contact Information
Primary practice address
23701 Birtcher Dr
Lake Forest CA 92630-1772
Phone: (855) 581-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1265040810 |
|---|---|
| LBN Legal business name | Miranda, Thannya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2020 |
| Last updated | Jul 20th, 2020 - about 6 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.
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