Active NPI
Mikayla Marie Nonog
- Behavior Technician
- Rohnert Park, CA
National Provider Identifier
1386317584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2 Padre Pkwy Ste 101
Rohnert Park, CA 94928-2114 - Phone
- (510) 268-8120
- NPI assigned
- Jul 26, 2021
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
2 Padre Pkwy Ste 101
Rohnert Park, CA 94928-2114
Mailing address
9250 Boscastle Way
Sacramento, CA 95829-6020
Phone (916) 544-7757
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": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1386317584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 BOSCASTLE WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958296020",
"telephone_number": "916-544-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PADRE PKWY STE 101",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282114",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NONOG",
"first_name": "MIKAYLA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rohnert Park, CA
- Jose G Navarrete, DDS
- Parisa Navi, MD
- Mallory R Nelson, SLP
- Sandra Ngoc Nguyen
- Christopher James Nicolaou
- North Bay Eye Associates a Medical Corporation (North Bay Eye Associates, Inc)
- North Bay Eye Care Partnership, Inc
- Northbay Senior Solutions, Inc. (Home Instead)
- Northern California Medical Assoc Inc
- Nancy Ann O'Brien, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.