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Miranda P Board

Behavior Analyst β€’ Radcliff, KY

Active NPI 1659033132 Individual Practitioner Female Practitioner
Practice location in NPPES

402 W Lincoln Trail Blvd
Radcliff, KY 401602011

Call 5025481691 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

402 W Lincoln Trail Blvd

Radcliff, KY 401602011

Telephone 5025481691
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Glasgow, KY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Radcliff and Kentucky

8 active clinicians are listed under Behavior Analyst with a practice address in Radcliff, KY (782 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

603 W Main St

Glasgow, KY 421411715

Phone: 2705763736

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Behavior Analyst

πŸ“
Updated Practice Location December 05, 2023

Registered at 402 W LINCOLN TRAIL BLVD, RADCLIFF, KY 401602011 (Tel: 5025481691)

πŸ“
Updated Business Mailing Address December 05, 2023

Registered at 215 PAYNE RD, EKRON, KY 401178571 (Tel: 5025481691)

βœ…
NPI Profile Active October 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 12, 2021

Registered at 1609 N DIXIE AVE STE 114, ELIZABETHTOWN, KY 427017494 (Tel: 2702155959)

πŸ“
Business Mailing Address (Initial Record) October 12, 2021

Registered at 1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 372172679 (Tel: 6153614000)

πŸ‘€
Provider Name / Credentials (Initial Record) October 12, 2021

Recorded as MIRANDA BOARD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration October 12, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659033132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2021
Last Update: November 19, 2025
Sole Proprietor: No

Mailing Address

215 Payne Rd

Ekron, KY 401178571

Phone: 5025481691

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.