Kristin Nicole Mahin, BA

Individual provider Active NPI Behavior Technician · Universal City, CA

NPI 1861787988 · NPPES record last updated May 13, 2025

Key facts

NPI: 1861787988
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: ABA-IN-10255706 (OR)
Practice address: 100 Universal City PLZ
Universal City, CA 91608-1002
Phone: (360) 509-9908
NPI assigned: Jun 16, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Cascadia Health Multi-Specialty Clinic/Center · Portland, OR · NPI 1447337753

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Bachelor of Arts

State licenses

License	State	Type	Specialty
ABA-IN-10255706	OR	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Cascadia Health		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Technician	106S00000X	ABA-IN-10255706	OR	Yes

Addresses

Primary practice location

100 Universal City PLZ
Universal City, CA 91608-1002

Mailing address

300 45TH St S
Fargo, ND 58103-1189

Other providers in Universal City, CA

All providers in Universal City, CA · Behavior Technician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.