Individual provider Active NPI

Vivian Marana-Manchess, BCBA, LBA, CASAC

  • Behavior Analyst
  • Sunnyside, NY
National Provider Identifier
1003393869
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4732 41St St
Sunnyside, NY 11104-3646
Phone
(347) 635-0728
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4732 41St St
Sunnyside, NY 11104-3646

Mailing address

4732 41St St
Sunnyside, NY 11104-3646

Other names 1

  • Vivian Manchess Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1003393869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 41ST ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 41ST ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043646",
            "telephone_number": "347-635-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANA-MANCHESS",
        "first_name": "VIVIAN",
        "credential": "BCBA, LBA, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "MANCHESS",
            "credential": "BCBA, LBA, CASAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.