Gina Mastroianni, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

B-10213319 Issued in OR

Practice address

465 Elrod Ave # 101
Coos Bay, OR 97420-1532

Phone

(541) 756-6232

NPI assigned

Apr 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1154940807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 ELROD AVE # 101",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201532",
            "telephone_number": "541-756-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ELROD AVE # 101",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201532",
            "telephone_number": "541-756-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROIANNI",
        "first_name": "GINA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000567",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "B-10213319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Johnston Martin, M.D.
• Julie A Martin, D.C.
• Kayla Martin
• Tori Martin
• Kammy Martindale
• Carrie Mathews Leonard, RD
• Sue Mathews, RN
• Fawn Mathis
• Angela Aracele Mayfield
• Thomas Francis McAndrew, MD

• Behavior Analyst in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.