Individual provider Active NPI

Shanika Mombo

  • Behavior Analyst
  • Bensalem, PA
National Provider Identifier
1487577987
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
15BC00400700 Issued in NJ
Practice address
346 Thunder Cir
Bensalem, PA 19020-2163
Phone
(609) 508-6493
NPI assigned
Aug 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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 15BC00400700 NJ Primary

Addresses

Primary practice location

346 Thunder Cir
Bensalem, PA 19020-2163

Mailing address

346 Thunder Cir
Bensalem, PA 19020-2163
Phone (609) 508-6493

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

NPI Registry JSON

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1487577987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 THUNDER CIR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202163",
            "telephone_number": "609-508-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 THUNDER CIR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202163",
            "telephone_number": "609-508-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBO",
        "first_name": "SHANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00400700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.