Miranda, Timothy

Miranda, Timothy is an individual health care provider with primary practice located at 744 Empire St Ste 160 , Fairfield CA 94533-5562. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Miranda, Timothy can be contacted via phone (707) 399-9413.

Contact Information

Primary practice address
744 Empire St Ste 160 Fairfield CA 94533-5562
Phone: (707) 399-9413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1386013621
LBN Legal business name Miranda, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Oct 30th, 2019 - about 5 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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