Individual provider · Type 1 NPI

Daniel Boone Miranda

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1285994939 Active

Practice location

1989 Vicente Dr
San Luis Obispo, CA 93405-6863

Call (805) 781-4179 Map

Other practice locations

  • 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 · (805) 781-4700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPT 36369 (CA)
Licensed Psychiatric Technician Primary 167G00000X36369 (CA)

Licensed Psychiatric Technician: 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 dis…

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About NPI 1285994939

Daniel Boone Miranda's National Provider Identifier is 1285994939, issued on May 29, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 24, 2024.