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Miranda Gonzalez

Behavior Technician in Mililani, HI. Individual provider (NPI-1).

NPI number1104646629
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1104646629
Entity type
Individual (NPI-1)
Name
Miranda Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2024
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

100 Kahelu Ave Ste 110
Mililani, HI 96789-3913

Phone 808-625-3000

Mailing address

100 Kahelu Ave Ste 110
Mililani, HI 96789-3913

Phone 808-625-3000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Mililani, HI

All 546 Behavior Technician providers in Mililani · All 1,120 providers in Mililani

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