Active NPI
Mandy Scepaniak, BCBA
- Behavior Analyst
- Raleigh, NC
National Provider Identifier
1356703698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 8374 Six Forks Rd
Raleigh, NC 27615-5096 - Phone
- (919) 890-5852
- NPI assigned
- Mar 25, 2016
- 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
8374 Six Forks Rd
Raleigh, NC 27615-5096
Mailing address
8374 Six Forks Rd
Raleigh, NC 27615-5096
Phone (919) 890-5852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801096467 | Other | MI | MASTERS OF SOCIAL WORK |
| C010273 | Other | NC | LICENSED CLINICAL SOCIAL WORKER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apollo Behavior Services LLC | Behavior Analyst | Past | Accepting new patients |
| Elliston LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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
- Suwanee, GA
- NPI 1649813718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1356703698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8374 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155096",
"telephone_number": "919-890-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8374 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155096",
"telephone_number": "919-890-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCEPANIAK",
"first_name": "MANDY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTERS OF SOCIAL WORK",
"identifier": "6801096467",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "C010273",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.