SearchNew Jersey101YA0400X

Dan Miranda, MS, LCADC, CCS

NPI 1740943539 · on the registry since 2021 · sole proprietor

Practice

Address
1322 Route 72 W Ste 202a
Stafford Township, NJ 08050
Phone
(561) 676-1634
Organisation at this address
Gia19
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 240 Mathistown Rd Unit 212, Little Egg Harbor Twp, NJ

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey