Selene Mancilla

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3333 Vaca Valley Pkwy Ste 900
Vacaville, CA 95688-9419

Phone

(707) 317-5584

NPI assigned

Jul 6, 2018

Last updated

Jul 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1548756190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 DAVID DR",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956604512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 VACA VALLEY PKWY STE 900",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889419",
            "telephone_number": "707-317-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCILLA",
        "first_name": "SELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Frank Mall
• Zachary Mallon, MD
• Rochelle Cereca Maloa
• Molly Bridget Malone
• Grace Itsuko Manago
• Kaye Manding, P.T.
• Ramandip K. Mangat, DO
• Martha Michalski Mann, M.D.
• Sandeep Singh Mann
• Ciara Valerie Rose Manning

• Behavior Analyst in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.