Active NPI
Andrea Jean Manning, BA
- Assistant Behavior Analyst
- Camarillo, CA
National Provider Identifier
1487276119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 2009 Las Estrellas CT
Camarillo, CA 93012-4070 - Phone
- (805) 407-4533
- NPI assigned
- May 15, 2020
- Last updated
- May 15, 2020
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | NU | Primary |
Addresses
Primary practice location
2009 Las Estrellas CT
Camarillo, CA 93012-4070
Mailing address
5034 Nautilus St
Oxnard, CA 93035-1935
Phone (760) 554-0102
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Its Behavioral | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Camarillo, CA
- NPI 1407368822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1487276119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5034 NAUTILUS ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930351935",
"telephone_number": "760-554-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 LAS ESTRELLAS CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124070",
"telephone_number": "805-407-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "ANDREA",
"middle_name": "JEAN",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.