Balcazar, Miranda

Balcazar, Miranda is an individual health care provider with primary practice located at 4051 Broad St Ste 110 , San Luis Obispo CA 93401-8722. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Balcazar, Miranda can be contacted via phone (805) 242-1617.

Contact Information

Primary practice address
4051 Broad St Ste 110 San Luis Obispo CA 93401-8722
Phone: (805) 242-1617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1821855016
LBN Legal business name Balcazar, Miranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about 8 months 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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