Provider Demographics
NPI:1871144824
Name:MIGLIACCIO, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MIGLIACCIO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 LAS POSAS RD STE C
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3437
Mailing Address - Country:US
Mailing Address - Phone:805-341-6731
Mailing Address - Fax:
Practice Address - Street 1:2390 LAS POSAS RD STE C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3437
Practice Address - Country:US
Practice Address - Phone:805-341-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst