Brandon Shea Mixon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10730 Church St Apt 266
Rancho Cucamonga, CA 91730-6652

Phone

(909) 465-3151

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1215571906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 CHURCH ST APT 266",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306652",
            "telephone_number": "909-465-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 CHURCH ST APT 266",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306652",
            "telephone_number": "909-465-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "BRANDON",
        "middle_name": "SHEA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Angelina Mitchell
• Sonoya Mitchell
• James Joseph Mitchner, MD
• Krishan Kumar Mittal, DDS
• Dorina Mixon-Lowe
• Miguelina Mixon
• Noriko Mizuhara, CCC-SLP
• MKJ and Associates LLC/Dba Primary Express Medical Transportation
• MMF Medical Transportation LLC
• Mobilia Dental Corporation (Arrow Family Dentistry)

• Behavior Technician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.