Active NPI
Yackeline Mandujano
- Behavior Technician
- Cypress, TX
National Provider Identifier
1205655081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB791102
- Practice address
- 16410 Cypress Rosehill Rd
Cypress, TX 77429-1428 - Phone
- (281) 899-0146
- NPI assigned
- Oct 8, 2024
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB791102 | TX | Primary |
Addresses
Primary practice location
16410 Cypress Rosehill Rd
Cypress, TX 77429-1428
Mailing address
9125 Highway 6 N Apt 2031
Houston, TX 77095-2356
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB791102 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough ABA LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Cypress, TX
- NPI 1144897281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1205655081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9125 HIGHWAY 6 N APT 2031",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 CYPRESS ROSEHILL RD",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291428",
"telephone_number": "281-899-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDUJANO",
"first_name": "YACKELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "BACB791102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.