Individual provider Active NPI

Nicki Suzette Mationg

  • Behavior Technician
  • Pomona, CA
National Provider Identifier
1538098538
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
34 Quiet Hills Rd
Pomona, CA 91766-4786
Phone
(909) 717-2372
NPI assigned
May 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

34 Quiet Hills Rd
Pomona, CA 91766-4786

Mailing address

34 Quiet Hills Rd
Pomona, CA 91766-4786
Phone (909) 717-2372

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": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1538098538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 QUIET HILLS RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664786",
            "telephone_number": "909-717-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 QUIET HILLS RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664786",
            "telephone_number": "909-717-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIONG",
        "first_name": "NICKI",
        "middle_name": "SUZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.