Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Petty

Individual provider Behavior Technician · NPI 1659024644

Miranda Petty is a Behavior Technician in Zachary, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2022

Practice location Address checks out

1215 Independence Blvd Bldg 6
Zachary, LA 70791-7390
Phone: (225) 286-1547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (LA)

Record details

NPI number1659024644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022
Mailing address1215 Independence Blvd Bldg 6, Zachary, LA 70791-7390

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