Cory Javon Mangini

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9405 Barnstead LN
Port Richey, FL 34668-4302

Phone

(727) 967-2809

NPI assigned

Jan 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divino ABA Services, LLC

  • Behavior Analyst
  • Port Richey, FL
  • NPI 1124510227
  NPD (past)

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1578103164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13102 TITLEIST DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346692410",
            "telephone_number": "352-586-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 BARNSTEAD LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684302",
            "telephone_number": "727-967-2809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13911 Lakeshore Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677102",
            "country_code": "US",
            "telephone_number": "727-967-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGINI",
        "first_name": "CORY",
        "middle_name": "JAVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105713200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina Lytvyn, APRN
• Julianne M Madera
• Sameh Magly
• Teri Makosiej
• Melinda Malkie, BEHAVIOR ANALYST
• Alfred Wesley Mann III, DMD
• Sarah Mapilisan
• Kelly Tony Marakas, PHARMD
• Margaret a. Dhima PA
• Jeanne Francis Marotta

• Behavior Technician in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.