Active NPI
Savannah Jane Bernardo Mendoza, BCBA, LBA
- Behavior Analyst
- Coon Rapids, MN
National Provider Identifier
1295407807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA0949
- Practice address
- 3111 124TH Ave NW Ste 150
Coon Rapids, MN 55433-4581 - Phone
- (310) 856-0800
- NPI assigned
- Oct 1, 2021
- 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 Analyst | 103K00000X | LBA0949 | MN | Primary |
Addresses
Primary practice location
3111 124TH Ave NW Ste 150
Coon Rapids, MN 55433-4581
Mailing address
3111 124TH Ave NW Ste 150
Coon Rapids, MN 55433-4581
Phone (310) 856-0800
Other practice location 1
2080 Wooddale Dr # 200
Woodbury, MN 55125-2924
Phone (612) 201-2468
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 |
|---|---|---|---|
| LBA0949 | MN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | Past | 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 and National Provider Directory roles.
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- Behavior Analyst
- Gardena, CA
- NPI 1245539394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1295407807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 124TH AVE NW STE 150",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554334581",
"telephone_number": "310-856-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 124TH AVE NW STE 150",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554334581",
"telephone_number": "310-856-0800"
}
],
"practiceLocations": [
{
"address_1": "2080 Wooddale Dr # 200",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551252924",
"country_code": "US",
"telephone_number": "612-201-2468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "SAVANNAH JANE",
"middle_name": "BERNARDO",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "LBA0949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.