Individual provider Active NPI

Rosemary Mantele

  • Behavior Technician
  • Ontario, CA
National Provider Identifier
1821636051
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1801 Excise Ave Ste 116
Ontario, CA 91761-8557
Phone
(909) 980-5282
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

1801 Excise Ave Ste 116
Ontario, CA 91761-8557

Mailing address

1055 E Colorado Blvd Ste 5601055E
Pasadena, CA 91106-2327
Phone (818) 241-6780

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address RosemaryM@Childrenslearningconnection.com Direct
Direct Messaging Address RosemaryM@Childrenslearningconnection.com Direct

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1821636051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 5601055E",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062327",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 EXCISE AVE STE 116",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618557",
            "telephone_number": "909-980-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTELE",
        "first_name": "ROSEMARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RosemaryM@Childrenslearningconnection.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "32830 Keel Dr",
            "city": "Lake Elsinore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925305389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RosemaryM@Childrenslearningconnection.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "32830 Keel Dr",
            "city": "Lake Elsinore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925305389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.