Kendall Mandt, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3870 San Jose Park Dr
Jacksonville, FL 32217

Phone

(904) 830-0020

NPI assigned

Dec 30, 2022

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA

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.

• Zoe Center for Pediatric & Adolescent Health, LLC

  • Pediatric Adolescent Medicine Physician
  • Thomaston, GA
  • NPI 1053684936
  NPD
• Zoe Pediatric After Hours Care, Inc

  dba Zoe Pediatric After Hours Care

  • Pediatrics Physician
  • Columbus, GA
  • NPI 1174971303
  NPD
• Zoe Center for ABA and Development Services, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1518469220
  NPD (past)

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1467165951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 17TH ST STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011984",
            "telephone_number": "706-507-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 SAN JOSE PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32217",
            "telephone_number": "904-830-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDT",
        "first_name": "KENDALL",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandarin OB-GYN PA
• Mandarin Reading Clinic
• Mandarin South Dentistry PA
• Mandarin Vision Center Inc
• David M. Mandel, MD
• Sherlie Mane
• Anna Manelis, DPT, PH.D.
• Caroline Danell Manemann, DPT
• Shailey Nicole Manfredo
• Lauren Alexandra Manganiello, MD

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.