Active NPI
Camille S Mandini
- Behavior Analyst
- Kailua Kona, HI
National Provider Identifier
1316749633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 75-5919 Walua Rd
Kailua Kona, HI 96740-1375 - Phone
- (928) 208-6909
- NPI assigned
- Mar 26, 2025
- 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 | Primary |
Addresses
Primary practice location
75-5919 Walua Rd
Kailua Kona, HI 96740-1375
Mailing address
P.O. Box 1231
Kealakekua, HI 96750
Phone (808) 339-4792
Other practice location 1
75-5919 Walua Rd
Kailua Kona, HI 96740-1375
Phone (928) 208-6909
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": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1316749633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1231",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "96750",
"telephone_number": "808-339-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5919 WALUA RD",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401375",
"telephone_number": "928-208-6909"
}
],
"practiceLocations": [
{
"address_1": "75-5919 Walua Rd",
"address_purpose": "LOCATION",
"city": "Kailua Kona",
"state": "HI",
"postal_code": "967401375",
"country_code": "US",
"telephone_number": "928-208-6909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDINI",
"first_name": "CAMILLE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.