Active NPI
Nikol Manes, BCBA
- Behavior Analyst
- Gardena, CA
National Provider Identifier
1427397330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1095263
- Practice address
- 18726 S Western Ave Ste 408
Gardena, CA 90248-3858 - Phone
- (323) 934-4119
- NPI assigned
- Feb 12, 2013
- Last updated
- Nov 27, 2023
- 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 | 1095263 | CA | Primary |
Addresses
Primary practice location
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Mailing address
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Phone (310) 505-1565
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.behaviorfrontiers.com | Behavior Frontiers, LLC |
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 |
|---|---|---|---|
| 1095263 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1427397330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 408",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "310-505-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 408",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "323-934-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANES",
"first_name": "NIKOL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2023-11-27",
"certification_date": "2020-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1095263",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.behaviorfrontiers.com",
"affiliation": "Y",
"affiliationName": "Behavior Frontiers, LLC",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "18726 S. Western Ave. #408 Gardena Ca. 90248",
"address_1": "18726 S Western Ave Ste 408",
"city": "Gardena",
"state": "CA",
"country_code": "US",
"postal_code": "902483858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.