Active NPI
Mandy Jenkins Rispoli, PHD, BCBA-D
- Behavior Analyst
- Bryan, TX
National Provider Identifier
1679882179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-06-2856
- Practice address
- 1318 Memorial Dr
Bryan, TX 77802-5215 - Phone
- (979) 776-2872
- Fax
- (979) 776-1456
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-06-2856 | TX | Primary |
Addresses
Primary practice location
1318 Memorial Dr
Bryan, TX 77802-5215
Mailing address
1318 Memorial Dr
Bryan, TX 77802-5215
Phone (979) 776-2872
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1679882179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 MEMORIAL DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025215",
"telephone_number": "979-776-2872",
"fax_number": "979-776-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 MEMORIAL DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025215",
"telephone_number": "979-776-2872",
"fax_number": "979-776-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISPOLI",
"first_name": "MANDY",
"middle_name": "JENKINS",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-06-2856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.