Individual provider Active NPI

Christy Elizabeth Mandon, M.A. B.C.A.B.A

  • Behavior Analyst
  • Aptos, CA
National Provider Identifier
1457776403
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-09-3690 Issued in CA
Practice address
7887 Soquel Dr
Aptos, CA 95003-3900
Phone
(831) 688-4240
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-09-3690 CA Primary

Addresses

Primary practice location

7887 Soquel Dr
Aptos, CA 95003-3900

Mailing address

307 Gharkey St
Santa Cruz, CA 95060-6019
Phone (415) 632-8801

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

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1457776403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GHARKEY ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606019",
            "telephone_number": "415-632-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 SOQUEL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033900",
            "telephone_number": "831-688-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDON",
        "first_name": "CHRISTY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A. B.C.A.B.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-09-3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.