location
search-icon
person
Daniel Boone Miranda
Licensed Psychiatric Technician in San Luis Obispo, California
NPI 1285994939

Daniel Boone Miranda is a Licensed Psychiatric Technician based in San Luis Obispo, CA. Daniel Boone Miranda practices in San Luis Obispo, CA. The NPI Number for Daniel Boone Miranda is 1285994939 and holds a License No. PT 36369 (California).

The current practice location address for Daniel Boone Miranda is 1989 Vicente Dr, San Luis Obispo, CA and can be reached out via phone at 805-781-4179.

Location: 1989 Vicente Dr, San Luis Obispo, CA, 93405-6863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285994939
Provider Name
Daniel Boone Miranda
Credential
Provider Entity Type
Individual
Gender
Male
Address
1989 Vicente Dr, San Luis Obispo, CA, 93405-6863
Phone Number
805-781-4179
Fax Number
Provider Enumeration Date
05/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1989 Vicente Dr
City
San Luis Obispo
State
California
Zip
93405-6863
Phone Number
805-781-4179
Fax Number
person
Provider Business Mailing Address Details
Address
1989 Vicente Dr
City
San Luis Obispo
State
California
Zip
93405-6863
Phone Number
805-781-4179
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
36369 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 36369 (California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.