Active NPI
Kamrin Nicole Pendleton
- Assistant Behavior Analyst
- Mansfield, OH
National Provider Identifier
1891374799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 1033 Larchwood Rd
Mansfield, OH 44907-2424 - Phone
- (419) 747-4126
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | OH | Primary |
Addresses
Primary practice location
1033 Larchwood Rd
Mansfield, OH 44907-2424
Mailing address
7394 State Route 97 Lot 115
Mansfield, OH 44903-8568
Phone (419) 632-3012
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": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1891374799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7394 STATE ROUTE 97 LOT 115",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449038568",
"telephone_number": "419-632-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 LARCHWOOD RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072424",
"telephone_number": "419-747-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "KAMRIN",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.