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

Primary practice address
1471 Nw 10Th St Homestead FL 33030
Phone: (786) 571-3231
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588911648 NPPES
Other 0-21-13273 BEHAVIOR ANALYST CERTIFICATION BOARD
Other CBHCMS100704 BEHAVIOR ANALYST CERTIFICATION BOARD

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