Ashley Mandell, MAT. BCBA, LBA-NY

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

001533 Issued in NY

Practice address

124 W 95TH St
New York, NY 10025-6604

Phone

(847) 528-8764

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1871087197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WYCKOFF ST APT 16",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016341",
            "telephone_number": "847-528-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 95TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256604",
            "telephone_number": "847-528-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "MAT. BCBA, LBA-NY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel A Mandelbaum, NURSE PRACTITIONER
• Sara Mandelbaum, PSY.D.
• Sarah Mandelbaum
• Sidney Henry Mandelbaum, M.D.
• Nataniel Jancic Mandelberg
• Bart Mandell, LCSW, CSAT-S
• Joanna Mandell, MD
• Jordan Taylor Mandell, MD
• Lynda R Mandell, M.D.
• Monica Lisa Mandell, LCSW

• Behavior Analyst in New York, NY
• Providers in New York, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.