Active NPI
Brandy Marie Mamo, M.A., BCBA, LBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1356019269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001437
- Practice address
- 2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139 - Phone
- (602) 878-2493
- NPI assigned
- Sep 3, 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 | BEH-001437 | AZ | Primary |
Addresses
Primary practice location
2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139
Mailing address
35433 N Blanford LN
San Tan Valley, AZ 85140-0211
Phone (386) 338-7816
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001437 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Autism & Related Disorders, 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.
-
- Behavior Analyst
- Phoenix, AZ
- NPI 1104573807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744502400000",
"number": "1356019269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35433 N BLANFORD LN",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851400211",
"telephone_number": "386-338-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N CENTRAL AVE STE 1800",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042139",
"telephone_number": "602-878-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMO",
"first_name": "BRANDY",
"middle_name": "MARIE",
"credential": "M.A., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2025-04-13",
"certification_date": "2025-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.