Daisy Mancilla

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49248 Issued in CA

Practice address

1957 Arcadia CT
Salinas, CA 93906-5415

Phone

(408) 688-1373

NPI assigned

Mar 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Central Coast ABA LLC

  • Behavior Analyst
  • Salinas, CA
  • NPI 1588227029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1447719968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S FLOWER ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683467",
            "telephone_number": "714-683-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 ARCADIA CT",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065415",
            "telephone_number": "408-688-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S Flower St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683467",
            "country_code": "US",
            "telephone_number": "714-683-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCILLA",
        "first_name": "DAISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Joshua Enriquez Malijan, PA-C
• Lena Nerjis Malik, M.D.
• Emmanuel Maliwanag, RN
• Danika Mallobox
• Jann Carol Malone
• Britania Mandujano
• Carolina Mandujano, PPS CREDENTIAL
• Isaias Roberto Mandujano
• Jasmine Mandujano
• Maria Mandujano, MA

• All providers in Salinas, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.